Individual provider Active NPI

Vinodh Kumar Reddy Maddireddy, M.B;B.S

  • Surgery Physician
  • Seattle, WA
National Provider Identifier
1932358231
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ML60021464 Issued in WA
Practice address
1959 NE Pacific St
Surgery, Box 356410
Seattle, WA 98195-0001
Phone
(206) 540-9944
NPI assigned
Sep 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ML60021464 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
Surgery, Box 356410
Seattle, WA 98195-0001

Mailing address

1836 E Hamlin St
Seattle, WA 98112-2006
Phone (419) 206-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ML60021464WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gme Office University of Washington Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1932358231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 E HAMLIN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981122006",
            "telephone_number": "419-206-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "SURGERY, BOX 356410",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-540-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDIREDDY",
        "first_name": "VINODH",
        "middle_name": "KUMAR REDDY",
        "name_prefix": "Dr.",
        "credential": "M.B;B.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "ML60021464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.