Jakkidi S Reddy


Address: 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843
Phone: 9167819885

Jakkidi S Reddy (NPI# 1780760421, PAC ID# 5799888459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1780760421
PAC ID by PECOS 5799888459
Professional Enrollment ID I20070317000089
Full Name Jakkidi S Reddy
Address 588 N Sunrise Ave
Suite 120
Roseville
CA 95661-2843
Phone Number 9167819885
Gender M
Credential MD
Medical School UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE
Graduation Year 1998
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050309 SUTTER ROSEVILLE MEDICAL CENTER
050108 SUTTER MEDICAL CENTER, SACRAMENTO
050498 SUTTER AUBURN FAITH HOSPITAL

Other Locations

Address Phone Organization
588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 9167819885

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 588 N SUNRISE AVE
SUITE 120
City ROSEVILLE
State CA
Zip 95661-2843

Physicians in the same location

Name Specialty Organization Address
Parul W Singh Family Medicine 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843
Khushwinder S Garcha Internal Medicine 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843
Ila Suplizio Physical Therapy Brett Pinkney Mpt and Associates Inc. 588 N Sunrise Ave, Suite 100, Roseville, CA 95661-2843
Earnest G Manjooran Internal Medicine 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843

Physicians in the same zip code

Name Specialty Organization Address
Reinhardt G Hilzinger Family Medicine 4 Medical Plaza Dr, Roseville, CA 95661-2815
Jasbir S Rangi Gastroenterology Capitol Gastroenterology Consultants Medical Group Inc 4 Medical Plaza Dr, Suite 205, Roseville, CA 95661-2815
Lorerky M Ramirez-moya Psychiatry Mark David Levine Md Psychiatrists Professional Corporation 1420 Rocky Ridge Dr, Roseville, CA 95661-2835
Granger B Wong Plastic and Reconstructive Surgery 576 N Sunrise Ave, 120 Centre for Plastic Surgery, Roseville, CA 95661-2846
Christine Nguyen Optometry 576 N Sunrise Ave, Suite 110, Roseville, CA 95661-2846
Shailaja Menon Internal Medicine 576 N Sunrise Ave, Suite 210, Roseville, CA 95661-2847
Bertina M Hooks Internal Medicine 576 N Sunrise Ave, Suite 210, Roseville, CA 95661-2847
Jennifer Hopper Family Practice Apollo Physicans Medical Group 576 N Sunrise Ave, Suite 230a, Roseville, CA 95661-2847
Lauren Renee Guajardo Optometry Gabriel Jacob Md A Medical Corporation 1524 Eureka Rd, Suite 100, Roseville, CA 95661-2850
Brian W Rothlisberger Ophthalmology Gabriel Jacob Md A Medical Corporation 1524 Eureka Rd, Suite 100, Roseville, CA 95661-2850
Find all physicians in zip 95661

Competitor

Search similar physicians

City ROSEVILLE
Zip Code 95661
Specialty INTERNAL MEDICINE
City + Specialty ROSEVILLE + INTERNAL MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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