Vimal A Reddy, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3091 Issued in FL

Practice address

8075 Gate Pkwy W
Suite 301
Jacksonville, FL 32216-3684

Phone

(904) 739-9129

Fax

(904) 739-9127

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• First Coast Foot & Ankle Clinic Inc

  • Foot Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1013120963

  O20100930032435

  Same enrollment

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECJADA
• FHIR API: https://fhir4.healow.com/fhir/r4/ECJADA/Endpoint/ECJADA

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.

• First Coast Foot & Ankle Clinic Inc

  • Foot Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1013120963

  Foot & Ankle Surgery

  Medicare reassignment NPD Authorized official
• Atlantic Podiatry Associates DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Daytona Beach, FL
  • NPI 1154349082
  Medicare reassignment NPD
• Camilleri Medical Center LTD

  • Foot & Ankle Surgery Podiatrist
  • Berwyn, IL
  • NPI 1225248396
  NPD (past)
• Jondelle Jenkins

  • Podiatrist
  • Chicago, IL
  • NPI 1639109382

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1962470617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 GATE PKWY W",
            "address_2": "SUITE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163684",
            "telephone_number": "904-739-9129",
            "fax_number": "904-739-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 GATE PKWY W",
            "address_2": "SUITE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163684",
            "telephone_number": "904-739-9129",
            "fax_number": "904-739-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "VIMAL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepica Ganta Reddy, MD
• Prajwal Reddy, M.D.
• Pramod Kumar Reddy, M.D.
• Prasanthi Reddy, MD
• Swetha Reddy, MD
• Sharon Pass Redfearn, ARNP
• Robert Earle Redfern, MD
• Redirecting Hope Inc
• Holly Locklear Redlinger, LCSW
• Jennifer Paige Redman

• Foot & Ankle Surgery Podiatrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.

Verify at the official NPI Registry.