Active NPI
Dr. Ajay Reddy, L.L.C.
- Internal Medicine Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D53691
- Legal business name
- DR. AJAY REDDY, L.L.C.
- Practice address
- 3200 Tower Oaks Blvd
Suite#110
Rockville, MD 20852-4216 - Phone
- (301) 230-9091
- Fax
- (301) 230-9091
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ajay Reddy, M.D.
- Title
- Owner
- Phone
- (301) 230-9091
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D53691 | MD | Primary |
Addresses
Primary practice location
3200 Tower Oaks Blvd
Suite#110
Rockville, MD 20852-4216
Mailing address
3200 Tower Oaks Blvd
Suite#110
Rockville, MD 20852-4216
Phone (301) 230-9091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023103700 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3200 Tower Oaks Blvd
Rockville, MD 20852
Phone (301) 593-6554
3200 Tower Oaks Blvd
Ste 110
Rockville, MD 20852
Phone (301) 230-9091
Interoperability endpoints
- https://api.platform.athenahealth.com/4329/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288915200000",
"number": "1871706192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 TOWER OAKS BLVD",
"address_2": "SUITE#110",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524216",
"telephone_number": "301-230-9091",
"fax_number": "301-230-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 TOWER OAKS BLVD",
"address_2": "SUITE#110",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524216",
"telephone_number": "301-230-9091",
"fax_number": "301-230-9091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. AJAY REDDY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2010-11-05",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "AJAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-230-9091",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D53691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023103700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.