Physician Compare National (NPI:1497948640)

HEALTHCARE PROVIDER: ARAVINDA REDDY M.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1497948640
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981792231
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110412000707
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REDDY
	Individual professional last name
Provider First Name	ARAVINDA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	240 WILLIAMSON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	TRINITAS REGIONAL MEDICAL CENTER
	Group Practice or individual's line 2 address
City	ELIZABETH
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	072023674
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310027
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TRINITAS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310024
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y