Active NPI
Abhimanyu Reddy, DO
- Sleep Medicine (Internal Medicine) Physician
- Aurora, CO
National Provider Identifier
1952863821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- DR.0078079
- Practice address
- 12401 E 17TH Ave
Aurora, CO 80045-2525 - Phone
- (720) 848-4400
- NPI assigned
- Apr 1, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DR.0078079 | CO | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | DR.0078079 | CO | Primary |
| Internal Medicine Physician | 207R00000X | 02008453A | IN | |
| Hospitalist Physician | 208M00000X | DO01308 | RI | |
| Internal Medicine Physician | 207R00000X | 34.015611 | OH |
Addresses
Primary practice location
12401 E 17TH Ave
Aurora, CO 80045-2525
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-5000
Other practice location 2
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-3565
Other practice location 3
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-0855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250723001961 | IN | Order and Referring Only - Sleep Medicine | 3678801370 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.015611 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1952863821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 E 17TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452525",
"telephone_number": "720-848-4400"
}
],
"practiceLocations": [
{
"address_1": "550 University Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025149",
"country_code": "US",
"telephone_number": "317-944-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-444-3565",
"fax_number": "401-444-5493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2139 Auburn Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452192906",
"country_code": "US",
"telephone_number": "513-585-0855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "ABHIMANYU",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-01",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0078079",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CO",
"license": "DR.0078079",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "02008453A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "RI",
"license": "DO01308",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.015611",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.