Active NPI
Joshua L. Reddish, MD
- Neonatal-Perinatal Medicine Physician
- Albuquerque, NM
National Provider Identifier
1902433014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 1971297
- Practice address
- Msc10 5590 1 University of New Mexico
Albuquerque, NM 87131-1125 - Phone
- (505) 272-2345
- NPI assigned
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Pediatrics Physician | 208000000X | 12404077-1205 | UT | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 1971297 | ID | Primary |
Addresses
Primary practice location
Msc10 5590 1 University of New Mexico
Albuquerque, NM 87131-1125
Mailing address
777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-1000
Other practice location 1
777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210827001038 | UT | Order and Referring Only - Pediatric Medicine | 5294130365 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1971297 | ID | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1902433014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 HOSPITAL WAY",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015175",
"telephone_number": "208-239-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MSC10 5590 1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871311125",
"telephone_number": "505-272-2345"
}
],
"practiceLocations": [
{
"address_1": "777 Hospital Way",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832015175",
"country_code": "US",
"telephone_number": "208-239-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDISH",
"first_name": "JOSHUA",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-26",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "12404077-1205",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "ID",
"license": "1971297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.