NPIMap

Individual provider Active NPI

Bhaskar Reddy, M.D.

  • Cardiovascular Disease Physician
  • Cumming, GA
National Provider Identifier
1871502492
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
055440 Issued in GA
Practice address
960 Sanders Rd Ste 700
Cumming, GA 30041-6058
Phone
(770) 887-3255
Fax
(770) 887-4177
NPI assigned
Aug 5, 2006
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 055440 GA Primary

Addresses

Primary practice location

960 Sanders Rd Ste 700
Cumming, GA 30041-6058

Mailing address

960 Sanders Rd Ste 700
Cumming, GA 30041-6058
Phone (770) 887-3255

Other identifiers 1

IdentifierTypeStateIssuer
774380303BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050128000170 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486604600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11780 Northfall LN
Suite 304
Alpharetta, GA 30009-7964
Phone (770) 887-3255

1400 Northside Forsyth Dr
Cumming, GA 30041-6018
Phone (770) 887-3255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20555SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Heart & Vascular Centre Cardiovascular Disease Current Accepting new patients
North Atlanta Heart & Vascular Centre Cardiovascular Disease CurrentSince Jan 1, 2005 Accepting new patients
North Atlanta Heart and Vascular Center PC Cardiovascular Disease Current Accepting new patients
North Fulton Regional Medical Center Pro Fee Billing, LLC Cardiovascular Disease Past Accepting new patients
Family Medicine and Urgent Care, P.C. PastSince Apr 10, 2012 Accepting new patients

Locations

11780 Northfall Ln
Ste 303
Alpharetta, GA 30009

1400 Northside Forsyth Dr
Ste 380
Cumming, GA 30041
Phone (770) 667-1071

960 Sanders Rd
Ste 700
Cumming, GA 30041
Phone (678) 272-3777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHDABA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHDABA/Endpoint/FHDABA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1871502492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 SANDERS RD STE 700",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416058",
            "telephone_number": "770-887-3255",
            "fax_number": "770-887-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 SANDERS RD STE 700",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416058",
            "telephone_number": "770-887-3255",
            "fax_number": "770-887-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "BHASKAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-06-13",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "055440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774380303B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.