Shashidhar Reddy, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

128410 Issued in NY

Practice address

1 Columbia St
Dra Imaging, P.C.
Poughkeepsie, NY 12601-3923

Phone

(845) 454-4700

Fax

(845) 454-4982

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hudson Valley Radiologists P C

  • Diagnostic Radiology Physician
  • Poughkeepsie, NY
  • NPI 1114990561
  Medicare reassignment
• Greene Medical Imaging PC

  • Diagnostic Radiology Physician
  • Catskill, NY
  • NPI 1629053566
  NPD (past)
• Valatie Imaging PC

  • Diagnostic Radiology Physician
  • Valatie, NY
  • NPI 1386629152
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1942200803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLUMBIA ST",
            "address_2": "DRA IMAGING, P.C.",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013924",
            "telephone_number": "845-454-4700",
            "fax_number": "845-454-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLUMBIA ST",
            "address_2": "DRA IMAGING, P.C.",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013923",
            "telephone_number": "845-454-4700",
            "fax_number": "845-454-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SHASHIDHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "128410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00961028",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red Oaks Dental, P.C
• Red Oaks Dental, PC
• Jessica L. Redd, LPN
• Robert Douglas Redden, DVM
• Ravichandra Reddy, MD
• Nicole Redenti, LPN
• Mary Kathryn Redmond, PA-C
• Clare Marie Reed, M.S., CCC-SLP
• Gwendolyn Denise Reed, CASAC-2
• Katherine Mary Reeder, MS OTR/L

• Diagnostic Radiology Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.

Verify at the official NPI Registry.