DR. KOUSHIK RAVI REDDY MD NPI 1558481770

NPI Information

NPI: 1558481770
Provider Name: DR. KOUSHIK RAVI REDDY, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
12901 BRUCE B DOWNS BLVD
MDC 87
TAMPA, FL
ZIP 33612
Phone: (813) 259-0600
Get Directions

DR. Koushik Ravi Reddy, MD is a cardiovascular disease internal medicine in Tampa, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Koushik Ravi Reddy, MD NPI is 1558481770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12901 BRUCE B DOWNS BLVD
MDC 87
TAMPA, FL
ZIP 33612-742
Phone: (813) 259-0600

The NPI 1558481770 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 5/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		ME 97970	FLORIDA	No
2	207R00000X	Internal Medicine		226094-1	NEW YORK	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	226094-1	NEW YORK	No
4	207RI0011X	Internal Medicine	Interventional Cardiology	ME 97970	FLORIDA	No
5	207RI0011X	Internal Medicine	Interventional Cardiology	226094-1	NEW YORK	No
6	207RC0000X	Internal Medicine	Cardiovascular Disease	ME 97970	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	278304500	MEDICAID	FLORIDA
2	AE476Z	MEDICARE PIN	FLORIDA
3	16015	OTHER	FLORIDA	BCBS
4	H76969	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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