| Dr Akavaram N Reddy, MD | |
|
1308 8th St Ste 1, Rupert, ID 83350-1535 | |
| (208) 436-4322 | |
| (208) 436-1312 |
| Full Name | Dr Akavaram N Reddy |
|---|---|
| Gender | Male |
| Speciality | Rheumatology |
| Experience | 52 Years |
| Location | 1308 8th St Ste 1, Rupert, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407816986 | NPI | - | NPPES |
| 807465000 | Medicaid | ID | |
| P00809352 | Other | ID | MCRR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | M-9605 (Idaho) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | MD27896 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Minidoka Memorial Hospital | Rupert, ID | Hospital |
| Cassia Regional Hospital | Burley, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minidoka Memorial Hospital | 7315908894 | 30 |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20050801000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Akavaram N Reddy, MD 8216 Hunters Grove Rd, Jacksonville, FL 32256-7205 Ph: (208) 421-2347 | Dr Akavaram N Reddy, MD 1308 8th St Ste 1, Rupert, ID 83350-1535 Ph: (208) 436-4322 |
Nichole Blair Shumway, DO Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1308 8th St, Rupert, ID 83350 Phone: 208-436-4322 | |
Tyson Dean Steel, D.O. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1308 8th St Ste 1, Rupert, ID 83350 Phone: 208-436-4322 Fax: 208-436-1312 |