Individual provider Active NPI

Lakshmi Paturu Reddy, MD

  • Allergy & Immunology Physician
  • Duluth, GA
National Provider Identifier
1962420695
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
60595 Issued in GA
Practice address
10700 Medlock Bridge Rd
Suite 102
Duluth, GA 30097-8456
Phone
(678) 615-7878
Fax
(770) 685-1241
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 2004008552 MO
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 2004008552 MO
Allergy & Immunology Physician 207K00000X 60595 GA Primary
Allergy Physician 207KA0200X 60595 GA
Pediatric Allergy/Immunology Physician 2080P0201X 60595 GA

Addresses

Primary practice location

10700 Medlock Bridge Rd
Suite 102
Duluth, GA 30097-8456

Mailing address

10700 Medlock Bridge Rd
Suite 102
Duluth, GA 30097-8456
Phone (678) 615-7878

Other identifiers 1

IdentifierTypeStateIssuer
209005701MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20151112002318 GA Practitioner - Allergy/Immunology 7416919568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Meharry Medical College School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10700 Medlock Bridge Rd
Duluth, GA 30097-8455
Phone (678) 615-7878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Asthma Institute Allergy CurrentSince Aug 22, 2011 Accepting new patients

Locations

10700 Medlock Bridge Rd
Ste 102
Johns Creek, GA 30097
Phone (678) 615-7878

Interoperability endpoints

  • Direct secure messaging: lreddy45895@choa.gadirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1962420695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978456",
            "telephone_number": "678-615-7878",
            "fax_number": "770-685-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978456",
            "telephone_number": "678-615-7878",
            "fax_number": "770-685-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "LAKSHMI",
        "middle_name": "PATURU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MO",
            "license": "2004008552",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MO",
            "license": "2004008552",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "60595",
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "60595",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "GA",
            "license": "60595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209005701",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.