NPIMap

Individual provider Active NPI

Bharathi Reddy, MD

  • Internal Medicine Physician
  • Fresh Meadows, NY
National Provider Identifier
1932292976
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230576 Issued in NY
Practice address
17403 Horace Harding Expy
Fresh Meadows, NY 11365-1527
Phone
(718) 670-1695
NPI assigned
Oct 2, 2006
Last updated
Aug 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 230576 NY Primary

Addresses

Primary practice location

17403 Horace Harding Expy
Fresh Meadows, NY 11365-1527

Mailing address

38 Duke Dr
Manhasset Hills, NY 11040-1239
Phone (516) 570-3956

Other identifiers 1

IdentifierTypeStateIssuer
02528494MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429001349 NY Practitioner - Internal Medicine 4981691920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (347) 743-9519

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (347) 743-9519

300 Community Dr
Manhasset, NY 11030-3816
Phone (347) 743-9519

5955 47TH Ave
Woodside, NY 11377-5668
Phone (347) 743-9519

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bharathi Reddy MD PC Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Elmhurst Care Center Inc Past Accepting new patients
Digestive Disease Care, PC Past Accepting new patients
Queens Medical Services PLLC Internal Medicine Past Accepting new patients
Health Wise Medical PC PastSince Jul 17, 2021 Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Queens Boulevard Extended Care Facility Management LLC Past Accepting new patients
North Shore University Hospital Past Accepting new patients
Lifeco Medical, P.C. Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Dry Harbor HRF Inc Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

27005 76th Ave
North New Hyde Pk, NY 11040

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: breddy97404@direct.medisys.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1932292976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 DUKE DR",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401239",
            "telephone_number": "516-570-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17403 HORACE HARDING EXPY",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651527",
            "telephone_number": "718-670-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "BHARATHI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02528494",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.