Individual provider Active NPI

Satyanarayana R Basireddy, MD

  • Internal Medicine Physician
  • Cumming, GA
National Provider Identifier
1972556868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51209 Issued in GA
Practice address
107 Colony Park Dr
Suite 800
Cumming, GA 30040-2787
Phone
(770) 886-3747
Fax
(770) 886-3706
NPI assigned
May 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51209 GA Primary

Addresses

Primary practice location

107 Colony Park Dr
Suite 800
Cumming, GA 30040-2787

Mailing address

107 Colony Park Dr
Suite 800
Cumming, GA 30040-2787
Phone (770) 886-3747

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51209GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Medical Associates, P.C. Internal Medicine Past Accepting new patients

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, 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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972556868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COLONY PARK DR",
            "address_2": "SUITE 800",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402787",
            "telephone_number": "770-886-3747",
            "fax_number": "770-886-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 COLONY PARK DR",
            "address_2": "SUITE 800",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402787",
            "telephone_number": "770-886-3747",
            "fax_number": "770-886-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIREDDY",
        "first_name": "SATYANARAYANA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "51209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.