NPIMap

Individual provider Active NPI

Venkatesh S Reddy, MD

  • Nephrology Physician
  • Longview, TX
National Provider Identifier
1891750840
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K6696 Issued in TX
Practice address
3535 N Fourth St Ste 301
Longview, TX 75605-0037
Phone
(903) 234-9992
Fax
(903) 234-8287
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 308485 LA
Nephrology Physician 207RN0300X K6696 TX Primary

Addresses

Primary practice location

3535 N Fourth St Ste 301
Longview, TX 75605-0037

Mailing address

3535 N Fourth St Ste 301
Longview, TX 75605-0037
Phone (903) 234-9992

Other practice location 1

1815 E 70th St
Shreveport, LA 71105-5301
Phone (800) 276-9017

Other identifiers 2

IdentifierTypeStateIssuer
752896100OtherTXCOMMERCIAL INS
8B0771OtherTXBLUE CROSS & BLUE SHIELD

Other names 1

  • Dr. Salguti Venkateshwar Reddy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100111000131 TX Practitioner - Internal MedicinePractitioner - Nephrology 1658347661 Reassigns benefits to 1 organization
I20181217002736 LA Practitioner - Nephrology 1658347661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Kidney Associates PLLCGroup PAC ID 8325382146, 6 clinicians
East Texas Kidney Specialists,PAGroup PAC ID 6901856806, 10 clinicians

Practice addresses (Care Compare)

1815 E 70TH St
Shreveport, LA 71105-5301
Phone (318) 585-5555

3535 N 4TH St
Suite 301
Longview, TX 75605-0037
Phone (903) 234-9992

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308485LAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Kidney Associates PLLC Nephrology CurrentSince Oct 26, 2018 Accepting new patients
Barnert FCC Housemeds Group Past Accepting new patients

Locations

1815 E 70th St
Shreveport, LA 71105
Phone (318) 585-5555

1402 N 4th St
Longview, TX 75601
Phone (903) 234-9992

3535 N Fourth St
Ste 301
Longview, TX 75605
Phone (903) 234-9992

1402 N 4th St
Ste 300
Longview, TX 75601
Phone (903) 234-0030

Interoperability endpoints

  • Direct secure messaging: venkatesh.reddy@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1891750840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 N FOURTH ST STE 301",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756050037",
            "telephone_number": "903-234-9992",
            "fax_number": "903-234-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 N FOURTH ST STE 301",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756050037",
            "telephone_number": "903-234-9992",
            "fax_number": "903-234-8287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 E 70th St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055301",
            "country_code": "US",
            "telephone_number": "800-276-9017",
            "fax_number": "903-234-8287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "VENKATESH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "308485",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K6696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INS",
            "identifier": "752896100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "8B0771",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALGUTI",
            "last_name": "REDDY",
            "middle_name": "VENKATESHWAR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.