NPIMap

Organization Active NPI

Reddy Family Medical Clinic LLC

  • Family Medicine Physician
  • Donaldsonville, LA
National Provider Identifier
1902120132
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05775R Issued in LA
Legal business name
REDDY FAMILY MEDICAL CLINIC LLC
Practice address
217 Railroad Ave
Donaldsonville, LA 70346-2527
Phone
(225) 473-3931
Fax
(225) 473-3289
NPI assigned
Mar 17, 2010
Last updated
Mar 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Dr. Nagaratna Reddy, M.DNPI 1770580508
Title
Physician
Phone
(225) 473-3931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05775R LA Primary

Addresses

Primary practice location

217 Railroad Ave
Donaldsonville, LA 70346-2527

Mailing address

217 Railroad Ave
Donaldsonville, LA 70346-2527
Phone (225) 473-3931

Other identifiers 1

IdentifierTypeStateIssuer
1948144MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Reddy Family Medical Clinic LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

217 Railroad Ave
Donaldsonvlle, LA 70346
Phone (225) 473-3931

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1902120132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 RAILROAD AVE",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703462527",
            "telephone_number": "225-473-3931",
            "fax_number": "225-473-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 RAILROAD AVE",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703462527",
            "telephone_number": "225-473-3931",
            "fax_number": "225-473-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY FAMILY MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "NAGARATNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "225-473-3931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "05775R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948144",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Donaldsonville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.