Active NPI
Rekha Bankulla Reddy, M.D.
- Family Medicine Physician
- Mountain View, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A87144
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0054183 | CO | MD | Family Medicine Physician |
| MD-17979 | HI | MD | Family Medicine Physician |
| MED-PHYS-LIC-34618 | MT | MD | Family Medicine Physician |
| MD169043 | OR | MD | Family Medicine Physician |
| MD60484143 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Family Medicine | Current | Accepting new patients |
| Doctor on Demand Professionals of California | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1346658614
AZ
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.