Individual provider Active NPI

Satish Reddy, M.D

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1972537371
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
184084 Issued in NY
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05658OtherNYGHI 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
184084NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.