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CHENNAREDDY MD PC
NPI 1356360382
Internal Medicine in South Richmond Hill, NY

Active since July 19, 2006
10105 LEFFERTS BLVD STE 203, SOUTH RICHMOND HILL, NY 11419(718) 441-8086(718) 250-6036 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chennareddy Md Pc NPPES

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

CHENNAREDDY MD PC (NPI 1356360382) is a healthcare organization registered as an internal medicine in South Richmond Hill, New York and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Brooklyn and lists Raefeal Noah Luke, Administrative Secretary, as its authorized official.

NPPES Registry Identity

NPI1356360382
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCHENNAREDDY MD PC
Location Address10105 LEFFERTS BLVD STE 203South Richmond Hill, NY 11419-2014
Mailing Address30 Puritan AveForest Hills, NY 11375-6029 · (718) 250-8866 · Fax (718) 250-6703
Phone(718) 441-8086
Fax(718) 250-6036
Organization SubpartNo
Authorized OfficialRaefeal Noah LukeAdministrative Secretary · (646) 883-0422
Enumeration DateJuly 19, 2006
Last NPPES UpdateMay 2, 2024
NPPES CertifiedMay 2, 2024
✔ NPI 1356360382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 112288
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.
10105 LEFFERTS BLVD STE 203, South Richmond Hill, NY 11419
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Secondary Practice Location 1

Location 1150 E 91st StBrooklyn, NY 11212-1302 · Phone (718) 773-1058 · Fax (718) 773-1971

Other Identifiers 1

Medicaid00203118NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chennareddy Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Chennareddy MD PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Swaminathan Chennareddy, M.D.
Internal Medicine
NPI 1508895251
240 WILLOUGHBY ST SUITE 11E
Brooklyn, NY 11201
(718) 250-8866
✔ PECOS✔ Accepts Medicare8.0 mi
Xuemei He, FNP
Nurse Practitioner
NPI 1245534940
7317 STEVENTON WAY
Jacksonville, FL 32244
(904) 712-3380
✔ PECOS✔ Accepts Medicare849 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Chennareddy MD PC's NPI number?

The NPI number for Chennareddy MD PC is 1356360382. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Chennareddy MD PC located?

Chennareddy MD PC is located at 10105 Lefferts Blvd Ste 203, South Richmond Hill, NY 11419. The listed phone number is (718) 441-8086.

What is Chennareddy MD PC's specialty?

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

Is Chennareddy MD PC enrolled in Medicare?

Yes. Chennareddy MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chennareddy MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Chennareddy MD PC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Chennareddy MD PC was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.