Active NPI
Keshavpal G Reddy, M.D.
- Psychiatry Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101053228
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8970725 | Medicaid | NC | |
| 004945221 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050524001072 | NC | Practitioner - Psychiatry | 5092757617 | Reassigns benefits to 6 organizations |
| I20101206001181 | VA | Practitioner - Psychiatry | 5092757617 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- 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 PAArman C Moshyedi MD PLLC
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
- Novant Health Forsyth Medical Center
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38415 | NC | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
| 0101053228 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone WSNC LLC | Psychiatry | Current | Accepting new patients |
| Alcohol and Drug Services of Guilford, Inc. | Current | Accepting new patients | |
| Bethany Medical Center | Current | Accepting new patients | |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Bethany Medical Center | Current | Accepting new patients | |
| Alcohol and Drug Services of Guilford, Inc. | Current | Accepting new patients | |
| Bethany Medical Center PA | Psychiatry | Current | Accepting new patients |
| Bethany Medical Center, PA | Current | Accepting new patients | |
| Arman C. Moshyedi, MD, PLLC | Psychiatry | Current | Accepting new patients |
| Alcohol and Drug Services of Guilford, Inc. | Current | Accepting new patients | |
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Triad Psychiatric and Counseling Center PA | Psychiatry | Current | Accepting new patients |
| Danville Physician Practices LLC | Current | 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
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
- keshavpal.reddy.1@18773.direct.athenahealth.com
- 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.
-
- Psychiatry Physician
- Greensboro, NC
- NPI 1285671602
NC, Psychiatry, VA
-
- Community/Behavioral Health Agency
- High Point, NC
- NPI 1124166350
NC
-
- General Acute Care Hospital
- Martinsville, VA
- NPI 1225208705
VA
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1316085525
-
- Community/Behavioral Health Agency
- Asheboro, NC
- NPI 1447388426
-
- Anatomic Pathology & Clinical Pathology Physician
- Kernersville, NC
- NPI 1619398997
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
Hospital
-
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
Hospital
-
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.