NPIMap

Individual provider Active NPI

Vodur C Reddy, MD

  • Urology Physician
  • Apple Valley, CA
National Provider Identifier
1871576124
Registry record updated Jun 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A38271 Issued in CA
Practice address
18400 US Highway 18
Suite a
Apple Valley, CA 92307-2306
Phone
(760) 242-3939
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A38271 CA Primary

Addresses

Primary practice location

18400 US Highway 18
Suite a
Apple Valley, CA 92307-2306

Mailing address

18400 US Highway 18
Suite a
Apple Valley, CA 92307-2306
Phone (760) 242-3939

Other identifiers 1

IdentifierTypeStateIssuer
00A382711MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
HMG Urology PC Urology Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Hospital of Barstow Inc Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
Urologic Institute of the High Desert Inc. Urology PastSince Apr 30, 2003 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vodur.reddy.p1@direct.dvmg.nextgenshare.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339200000000",
    "number": "1871576124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 US HIGHWAY 18",
            "address_2": "SUITE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072306",
            "telephone_number": "760-242-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 US HIGHWAY 18",
            "address_2": "SUITE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072306",
            "telephone_number": "760-242-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "VODUR",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2012-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A38271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A382711",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.