JAGADEESH REDDY (NPI# 1275705691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275705691 |
| Entity Type | Individual |
| Full Name | JAGADEESH REDDY |
| Credential | M.D. |
| Practice Address |
707 N Michigan St Ste 400 South Bend IN 46601-1067 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746478470 |
| Practice Fax Number | 5746478475 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2016-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01070943A | IN | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01070943A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201163020 | 05 | |
| IN | BCBS BMG BEHAVIORAL HEALTH | 000000839927 | 01 |
| IN | BCBS BMG CENTENNIAL NEIGHBORHOOD HEALTH | 000000874687 | 01 |
| IN | BCBS BMG BEHAVIORAL HEALTH ELKHART | 000000932962 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083610703 | Jagadeesh C Reddy | Internal Medicine | 31852 Coast Hwy, Ste 201, Laguna Beach, CA 92651-6765 | 2005-06-27 |
| Street Address |
707 N MICHIGAN ST STE 400 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971488 | Thomas Edward Capannari | Pediatrics | 707 N Michigan St, Ste 316, South Bend, IN 46601 | 2005-06-09 |
| 1588205231 | Patrick Murathimi Mutugu | Registered Nurse | 707 N Michigan St, South Bend, IN 46601-1067 | 2019-10-03 |
| 1952969115 | Caitlin Casey | Student in an Organized Health Care Education/Training Program | 707 N Michigan St, South Bend, IN 46601-1067 | 2019-06-03 |
| 1033520101 | Oluyinka Grace Osunnuga | Nurse Practitioner | 707 N Michigan St, Suite 400, South Bend, IN 46601-1067 | 2014-05-12 |
| 1003172719 | Beth Ann Hayden | Nurse Practitioner | 707 N Michigan St, Ste 400, South Bend, IN 46601-1067 | 2012-04-06 |
| 1447520291 | Advanced Center for Cardiothoracic Surgery LLC | Clinic/Center | 707 N Michigan St, 503, South Bend, IN 46601-1067 | 2012-01-11 |
| 1679707012 | Narendra Pratap Singh | Psychiatry & Neurology | 707 N Michigan St, Suite 400, South Bend, IN 46601-1067 | 2009-05-13 |
| 1457536336 | Cardiothoracic Surgery, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 707 N Michigan St, Suite 501, South Bend, IN 46601-1067 | 2008-01-09 |
| 1508080714 | Duane D Flaig | Nurse Practitioner | 707 N Michigan St, Ste 400, South Bend, IN 46601-1067 | 2007-04-12 |
| 1891816559 | Pediatric Cardiology of Michiana, PC | Pediatrics | 707 N Michigan St, Suite 316, South Bend, IN 46601-1067 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558794206 | Frances | Psychiatry & Neurology | 219 N Dixie Way, Suite 135, South Bend, IN 46637-3369 | 2013-08-16 |
| 1114189305 | Ahmed Zakria Elmaadawi | Psychiatry & Neurology | 707 N Michigan St Ste 400, South Bend, IN 46601-1071 | 2008-06-27 |
| 1700090677 | Jennifer S. Knapp | Psychiatry & Neurology | 3220 E Jefferson Blvd, South Bend, IN 46615-3028 | 2007-05-10 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| 1336234756 | Khutb Mohammed Uddin | Psychiatry & Neurology | 239 N Dixie Way, South Bend, IN 46637-3309 | 2006-10-03 |
| 1053405779 | Brian K Esch | Psychiatry & Neurology | 218 W. Washington St., Suite 430, South Bend, IN 46601 | 2006-10-03 |
| 1659335636 | Mitchell Robert Goldstein | Psychiatry & Neurology | 107 N Eddy St, South Bend, IN 46617-2920 | 2006-04-14 |
| 1811985062 | Gregory Ernest Shadid | Psychiatry & Neurology | 2043 S Bend Ave # 233, South Bend, IN 46637-5686 | 2005-10-12 |
| 1619381993 | Julie Coyle | Psychiatry & Neurology | 707 N Michigan St Ste 400, South Bend, IN 46601 | 2014-06-16 |
| 1336574748 | Joan Louise Pontius | Psychiatry & Neurology | 219 N Dixie Way, Suite135, South Bend, IN 46637-3369 | 2013-09-05 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.