Organization Active NPI

Kota Jagdish Reddy MD PA

  • Specialist
  • Sugar Land, TX
National Provider Identifier
1891984043
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K2568 Issued in TX
Legal business name
KOTA JAGDISH REDDY MD PA
Doing business as
REDDY & REYNOLDS CARDIOLOGY ASSOCIATES
Practice address
3519 Town Center Blvd
Suite a
Sugar Land, TX 77479-1001
Phone
(281) 491-0044
Fax
(281) 491-1447
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Kota J Reddy, MDNPI 1275565236
Title
President
Phone
(281) 491-0044

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K2568 TX Primary

Addresses

Primary practice location

3519 Town Center Blvd
Suite a
Sugar Land, TX 77479-1001

Mailing address

P.O.Box 2566
Sugar Land, TX 77487-2566
Phone (281) 491-0044

Other identifiers 5

IdentifierTypeStateIssuer
1275565236OtherTXINDIVIDUAL NPI
154455301MedicaidTX
060070154OtherTXMEDICARE RAILROAD INDIVIDUAL
1376554691OtherINDIVIDUAL NPI
DD6476OtherTXMEDICARE RAILROAD GROUP

Other names 1

  • REDDY & REYNOLDS CARDIOLOGY ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080926000162 TX Part B Supplier - Clinic/Group Practice 5193766061 Receives reassigned benefits from 2 practitioners
Practice locations: Sugar Land, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1056973Reddy & Reynolds Cardiology3519 Town Center Blvd Suite a, Sugar Land, TX 77479Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1891984043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 2566",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774872566",
            "telephone_number": "281-491-0044",
            "fax_number": "281-491-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 TOWN CENTER BLVD",
            "address_2": "SUITE A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791001",
            "telephone_number": "281-491-0044",
            "fax_number": "281-491-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTA JAGDISH REDDY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "KOTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-491-0044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K2568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1275565236",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154455301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD INDIVIDUAL",
            "identifier": "060070154",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1376554691",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DD6476",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDDY & REYNOLDS CARDIOLOGY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.