| NPI | 1124014923 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-09-27 |
| Last Updated | 2026-02-10 |
| Mailing Address | 9456 Cuyamaca St, Suite 102 Santee, CA 92071-5915 United States Phone: (619) 588-4074 | Fax: (619) 588-4004 📍 View Map |
| Primary Practice Address | 9456 Cuyamaca St Ste 102 Santee, CA 92071-5919 United States Phone: (619) 588-4074 | Fax: (619) 588-4004 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OH | 0858620 | - |
| MEDICAID | WV | 3004393000 | - |
| Other (non-Medicare) | CA | GN258A | Medicare Group PTAN |
| Other (non-Medicare) | CA | GN609Z | Medicare PTAN |
| Other (non-Medicare) | CA | W21999 | Medicare PTAN SDIGN |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207RG0100X – Internal Medicine, Gastroenterology | PA | MD044783L |
| Yes | 207RG0100X – Internal Medicine, Gastroenterology | CA | C 52423 |
| No | 207RG0100X – Internal Medicine, Gastroenterology | WV | 17118 |
| No | 207RG0100X – Internal Medicine, Gastroenterology | OH | 35064253 |
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About NPI 1124014923
Ananthram Pottipati Reddy M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124014923. The primary specialty listed is Internal Medicine, Gastroenterology. The provider is located in Santee, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-09-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124014923?
NPI 1124014923 belongs to Ananthram Pottipati Reddy M.D., a Internal Medicine, Gastroenterology in Santee, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124014923 active?
The current status of NPI 1124014923 in the NPPES registry is Active. The record was last updated on 2026-02-10.
What specialty is NPI 1124014923?
NPI 1124014923 is classified under the taxonomy Internal Medicine, Gastroenterology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124014923?
You can verify NPI 1124014923 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124014923?
The primary practice address on file for NPI 1124014923 is 9456 Cuyamaca St Ste 102, Santee, CA 92071-5919. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124014923 issued?
NPI 1124014923 was first issued (enumerated) on 2005-09-27. The NPPES record was last updated on 2026-02-10.
Practice Location Map
Ananthram Pottipati Reddy is located at 9456 Cuyamaca St Ste 102, Santee, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ananthram Pottipati Reddy. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124014923. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Gastroenterology | MD044783L | PA |
| Internal Medicine, Gastroenterology | C 52423 | CA |
| Internal Medicine, Gastroenterology | 17118 | WV |
| Internal Medicine, Gastroenterology | 35064253 | OH |