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DR MANOHAR G REDDY MD PA
NPI 1053510305
Internal Medicine in Melbourne, FL

Active since July 17, 2007CLIA 10D1014053 · Waiver
2551 W EAU GALLIE BLVD, SUITE 101, MELBOURNE, FL 32935(321) 752-5544(321) 752-5957 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr Manohar G Reddy Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR MANOHAR G REDDY MD PA (NPI 1053510305) is a healthcare organization registered as an internal medicine in Melbourne, Florida and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Manohar G Reddy, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1053510305
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDR MANOHAR G REDDY MD PA
Location Address2551 W EAU GALLIE BLVD, SUITE 101Melbourne, FL 32935-8954
Mailing Address2551 W Eau Gallie Blvd, Suite 101Melbourne, FL 32935-8954 · (321) 752-5544 · Fax (321) 752-5957
Phone(321) 752-5544
Fax(321) 752-5957
Organization SubpartNo
Authorized OfficialManohar G ReddyPhysician/owner · (321) 752-5544
Enumeration DateJuly 17, 2007
Last NPPES UpdateAugust 28, 2007
✔ NPI 1053510305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0073885
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2551 W EAU GALLIE BLVD, Melbourne, FL 32935
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING63683FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1014053

Manohar G Reddy MD PA · Melbourne, FL
Active · expires Jun 23, 2027
CLIA Number10D1014053
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorManohar G. Reddy MD
Laboratory Phone(321) 752-5544
Laboratory LocationManohar G Reddy MD PA2551 W Eau Gallie Blvd Ste 101, Melbourne, FL 32935
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MANOHAR G REDDY MD
Internal Medicine
2551 W EAU GALLIE BLVD, SUITE 101
MELBOURNE, FL 32935
Brevard County (321) 752-5544
MRS. REBECCA LISA WOMACK ARNP
Nurse Practitioner (Adult Health)
2551 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 752-5544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Manohar G Reddy MD PA's NPI number?

The NPI number for Dr Manohar G Reddy MD PA is 1053510305. It was assigned to this organization in the NPPES registry on July 17, 2007.

Where is Dr Manohar G Reddy MD PA located?

Dr Manohar G Reddy MD PA is located at 2551 W Eau Gallie Blvd Suite 101, Melbourne, FL 32935. The listed phone number is (321) 752-5544.

What is Dr Manohar G Reddy MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Dr Manohar G Reddy MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1014053) is associated with this NPI, valid through June 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr Manohar G Reddy MD PA was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.