Active NPI
Samyuktha C Reddy, M.D.
- Internal Medicine Physician
- Huntsville, AL
National Provider Identifier
1962465385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10773
- Practice address
- 400 Whitesport Dr SW
Suite 101
Huntsville, AL 35801-6452 - Phone
- (256) 885-2222
- Fax
- (256) 885-2223
- NPI assigned
- Apr 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10773 | AL | Primary |
| Hospitalist Physician | 208M00000X | 10773 | AL |
Addresses
Primary practice location
400 Whitesport Dr SW
Suite 101
Huntsville, AL 35801-6452
Mailing address
400 Whitesport Dr SW
Suite 101
Huntsville, AL 35801-6452
Phone (256) 885-2222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000038457 | Medicaid | AL | |
| 110194866 | Other | AL | RAILROAD MEDICARE |
| 38457 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10773 | AL | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1962465385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WHITESPORT DR SW",
"address_2": "SUITE 101",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016452",
"telephone_number": "256-885-2222",
"fax_number": "256-885-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WHITESPORT DR SW",
"address_2": "SUITE 101",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016452",
"telephone_number": "256-885-2222",
"fax_number": "256-885-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "SAMYUKTHA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "10773",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AL",
"license": "10773",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000038457",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110194866",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "38457",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.