Organization Active NPI

Reddy Family Medical Clinic LLC

  • Family Medicine Physician
  • Pierre Part, LA
National Provider Identifier
1992029128
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05775R Issued in LA
Legal business name
REDDY FAMILY MEDICAL CLINIC LLC
Practice address
3407 Highway 70 S
Pierre Part, LA 70339-4524
Phone
(985) 252-1000
Fax
(985) 252-1003
NPI assigned
Mar 17, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Nagaratna Reddy, M.D
Title
Physician
Phone
(225) 545-3631

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Reddy Family Medical Clinic LLC (5 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 05775R LA Primary

Addresses

NPPES NPI Registry

Primary practice location

3407 Highway 70 S
Pierre Part, LA 70339-4524

Mailing address

217 Railroad Ave
Donaldsonville, LA 70346-2527
Phone (225) 473-3931

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1948292MedicaidLA
5F973OtherLAMEDICARE PART B

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2010.

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1992029128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 RAILROAD AVE",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703462527",
            "telephone_number": "225-473-3931",
            "fax_number": "225-473-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 HIGHWAY 70 S",
            "city": "PIERRE PART",
            "state": "LA",
            "postal_code": "703394524",
            "telephone_number": "985-252-1000",
            "fax_number": "985-252-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY FAMILY MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "NAGARATNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "225-545-3631",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "05775R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948292",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "5F973",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre Part, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.