Active NPI
Lakshmi Paturu Reddy, MD
- Allergy & Immunology Physician
- Duluth, GA
National Provider Identifier
1962420695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 60595
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209005701 | Medicaid | MO |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy and Asthma Institute | Allergy | Current | Accepting new patients |
Locations
10700 Medlock Bridge Rd
Ste 102
Johns Creek, GA 30097
Phone (678) 615-7878
Interoperability endpoints
- 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.
-
- Allergy Physician
- Duluth, GA
- NPI 1982983326
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.