Sudha Reddy, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

4301078486 Issued in MI

Practice address

12123 Conant St
Hamtramck, MI 48212-2718

Phone

(248) 247-4547

Fax

(313) 891-1599

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sudha.reddy.1@10301.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/10301/brand/1/csg/1/fhir/r4

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.

• University Allergy & Asthma Center PLLC

  • Allergy & Immunology Physician
  • Southfield, MI
  • NPI 1225300155
  Medicare reassignment NPD Authorized official
• Health First Medical Center PLC

  • Clinic/Center
  • Southgate, MI
  • NPI 1629001235
  Medicare reassignment NPD
• Allergy & Asthma Management Center PC

  • Allergy & Immunology Physician
  • Novi, MI
  • NPI 1528152246
  NPD (past)
• Kamal Ibrahim PC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1558372458
  NPD (past)
• MH Rehab PC

  • Physical Therapy Clinic/Center
  • Hamtramck, MI
  • NPI 1992247167
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1922023340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12123 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122718",
            "telephone_number": "248-247-4547",
            "fax_number": "313-891-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12123 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122718",
            "telephone_number": "248-247-4547",
            "fax_number": "313-891-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SUDHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301078486",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301078486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siddikur M Rahman
• Tahmina Rahman, PT
• Rainbow Dental Ddspc
• Prem Raj, RPT
• Rehena P Rana, TLLP
• Regal Home Care, LLC
• Regal Physical Therapy
• Regal Services
• Josephine Gallardo Reinoso, RPT
• Howayda Rida, PA-C

• Allergy & Immunology Physician in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.

Verify at the official NPI Registry.