Individual provider Active NPI

Keshavpal G Reddy, M.D.

  • Psychiatry Physician
  • Greensboro, NC
National Provider Identifier
1942269766
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101053228 Issued in VA
Practice address
603 Dolley Madison Rd Ste 100
Greensboro, NC 27410-4282
Phone
(336) 632-3505
Fax
(336) 632-3503
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 38415 NC
Psychiatry Physician 2084P0800X 0101053228 VA Primary

Addresses

Primary practice location

603 Dolley Madison Rd Ste 100
Greensboro, NC 27410-4282

Mailing address

603 Dolley Madison Rd Ste 100
Greensboro, NC 27410-4282
Phone (336) 632-3505

Other identifiers 2

IdentifierTypeStateIssuer
8970725MedicaidNC
004945221MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050524001072 NC Practitioner - PsychiatryPractitioner - Addiction Medicine 5092757617 Reassigns benefits to 6 organizations
I20101206001181 VA Practitioner - PsychiatryPractitioner - Neurology 5092757617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Triad Psychiatric and Counseling Center PAGroup PAC ID 3173590882, 23 clinicians
Arman C Moshyedi MD PLLCGroup PAC ID 9931435070, 21 clinicians

Practice addresses (Care Compare)

1119 Spruce St
Martinsville, VA 24112-4508
Phone (276) 638-3505

1500 Sunday Dr
Raleigh, NC 27607-5151

603 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-4282
Phone (336) 632-3505

Hospital & facility affiliations

  • Sovah Health Danville Hospital, Danville, VA, CCN 490075
  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38415NCMDAddiction Medicine (Psychiatry & Neurology) Physician
0101053228VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone WSNC LLC Psychiatry CurrentSince Sep 15, 2018 Accepting new patients
Alcohol and Drug Services of Guilford, Inc. CurrentSince Oct 19, 2012 Accepting new patients
Bethany Medical Center Current Accepting new patients
Danville Physician Practices LLC CurrentSince Nov 1, 2018 Accepting new patients
Bethany Medical Center Current Accepting new patients
Alcohol and Drug Services of Guilford, Inc. CurrentSince Jun 1, 1993 Accepting new patients
Bethany Medical Center PA Psychiatry CurrentSince Feb 20, 2019 Accepting new patients
Bethany Medical Center, PA CurrentSince Feb 20, 2019 Accepting new patients
Arman C. Moshyedi, MD, PLLC Psychiatry CurrentSince Jul 16, 2019 Accepting new patients
Alcohol and Drug Services of Guilford, Inc. CurrentSince Oct 19, 2012 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Triad Psychiatric and Counseling Center PA Psychiatry CurrentSince Oct 1, 1992 Accepting new patients
Danville Physician Practices LLC CurrentSince Nov 1, 2018 Accepting new patients
Keystone WSNC, LLC Past Accepting new patients
Greenbrook TMS Chapel Hill LLC Past Accepting new patients

Locations

55 Vilcom Center Dr
Ste 135
Chapel Hill, NC 27514
Phone (919) 590-9126

1931 New Garden Rd
Ste 108
Greensboro, NC 27410
Phone (336) 579-8400

1101 Carolina St
Greensboro, NC 27401
Phone (336) 333-6860

603 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 632-3505

603 Dolley Madison Rd
Ste 204
Greensboro, NC 27410

3511 W Market St
Ste 100
Greensboro, NC 27403
Phone (336) 522-8999

3610 Peters Ct
High Point, NC 27265

3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850

119 Chestnut Dr
High Point, NC 27262
Phone (336) 532-0500

3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610

507 N Lindsay St
High Point, NC 27262

495 Arbor Hill Rd
Ste M
Kernersville, NC 27284

380 Knollwood St
Ste 330
Winston Salem, NC 27103
Phone (336) 778-3989

125 Ashleybrook Sq
Winston Salem, NC 27103
Phone (336) 632-3505

3637 Old Vineyard Rd
Winston Salem, NC 27104
Phone (336) 794-3550

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

1119 Spruce St
Martinsville, VA 24112
Phone (276) 638-3505

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: keshavpal.reddy.1@18773.direct.athenahealth.com
  • Direct secure messaging: greenbrooktmsnc.keshavpalreddy@158836.advancedmd-direct.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1942269766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 DOLLEY MADISON RD STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104282",
            "telephone_number": "336-632-3505",
            "fax_number": "336-632-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 DOLLEY MADISON RD STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104282",
            "telephone_number": "336-632-3505",
            "fax_number": "336-632-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "KESHAVPAL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NC",
            "license": "38415",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101053228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8970725",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945221",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.