Active NPI
Satish Reddy, M.D
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1972537371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 184084
- Practice address
- 1185 Park Ave
Suite 1 L
New York, NY 10128-1308 - Phone
- (212) 580-5850
- Fax
- (212) 665-9412
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 24, 2013
- Sex
- Male
- 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 | 184084 | NY | Primary |
| Psychiatry Physician | 2084P0800X | 184084 | NY |
Addresses
Primary practice location
1185 Park Ave
Suite 1 L
New York, NY 10128-1308
Mailing address
140 E 83Rd St
Apt 10 C
New York, NY 10028-1929
Phone (212) 580-5850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05658 | Other | NY | GHI MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2021 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184084 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chennareddy MD PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- New York, NY
- NPI 1598894727
-
- Internal Medicine Physician
- South Richmond Hill, NY
- NPI 1356360382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1972537371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 E 83RD ST",
"address_2": "APT 10 C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100281929",
"telephone_number": "212-580-5850",
"fax_number": "212-665-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1185 PARK AVE",
"address_2": "SUITE 1 L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281308",
"telephone_number": "212-580-5850",
"fax_number": "212-665-9412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "SATISH",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "184084",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "184084",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "05658",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.