Individual provider Active NPI

Rekha Bankulla Reddy, M.D.

  • Family Medicine Physician
  • Mountain View, CA
National Provider Identifier
1871734418
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A87144 Issued in CA
Practice address
900 Miramonte Ave
Second Floor
Mountain View, CA 94040-2457
Phone
(650) 965-3323
Fax
(650) 965-0706
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0054183 CO
Family Medicine Physician 207Q00000X MD-17979 HI
Family Medicine Physician 207Q00000X MD60484143 WA
Family Medicine Physician 207Q00000X 49626 AZ
Family Medicine Physician 207Q00000X MED-PHYS-LIC-34618 MT
Family Medicine Physician 207Q00000X A87144 CA Primary
Family Medicine Physician 207Q00000X MD169043 OR
Family Medicine Physician 207Q00000X MD2014-0743 NM

Addresses

Primary practice location

900 Miramonte Ave
Second Floor
Mountain View, CA 94040-2457

Mailing address

900 Miramonte Ave
Second Floor
Mountain View, CA 94040-2457
Phone (650) 965-3323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, NM3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040722000946 CA Practitioner - Family Practice 0547240285 Reassigns benefits to 1 organization
I20250721000993 AZ Practitioner - Family Practice 0547240285 Reassigns benefits to 1 organization
I20250728001123 NM Practitioner - Family Practice 0547240285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctor on Demand Professionals of CaliforniaGroup PAC ID 6406161538, 18 clinicians

Practice addresses (Care Compare)

1 California St
Suite 2300
San Francisco, CA 94111-5424
Phone (800) 997-6196

8825 N 23Rd Ave
Suite 100
Phoenix, AZ 85021-4148
Phone (800) 997-6196

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0054183COMDFamily Medicine Physician
MD-17979HIMDFamily Medicine Physician
MED-PHYS-LIC-34618MTMDFamily Medicine Physician
MD169043ORMDFamily Medicine Physician
MD60484143WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C Family Medicine CurrentSince May 24, 2025 Accepting new patients
Doctor on Demand Professionals of California Family Medicine CurrentSince Feb 16, 2020 Accepting new patients

Locations

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

726 E Michigan Dr
Ste 101
Hobbs, NM 88240

Interoperability endpoints

  • Direct secure messaging: rekha.reddy.1@30520.direct.athenahealth.com

Organizations & group practices 2

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": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1871734418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MIRAMONTE AVE",
            "address_2": "SECOND FLOOR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402457",
            "telephone_number": "650-965-3323",
            "fax_number": "650-965-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MIRAMONTE AVE",
            "address_2": "SECOND FLOOR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402457",
            "telephone_number": "650-965-3323",
            "fax_number": "650-965-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "REKHA",
        "middle_name": "BANKULLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0054183",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-17979",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60484143",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "49626",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-34618",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87144",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD169043",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2014-0743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.