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REWANTH REDDY KATAMREDDY M.D.
NPI 1386219004
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since May 25, 2021PECOS Enrolled
SAINT MICHAELS MEDICAL CENTER 111 CENTRAL AVENUE, FLOOR D7 MEDICAL EDUCATION, NEWARK, NJ 07102(973) 877-5465 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2021, May 25, 2021 (2 updates tracked since 2021).

About Rewanth Reddy Katamreddy M.d. NPPES

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

REWANTH REDDY KATAMREDDY M.D. (NPI 1386219004) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386219004
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameREWANTH REDDY KATAMREDDYCredential: M.D.
Location AddressSAINT MICHAELS MEDICAL CENTER 111 CENTRAL AVENUE, FLOOR D7 MEDICAL EDUCATIONNewark, NJ 07102
Mailing AddressSaint Michaels Medical Center 111 Central Avenue, Floor D7 Medical EducationNewark, NJ 07102
Phone(973) 877-5465
Sole ProprietorNo
Enumeration DateMay 25, 2021
Last NPPES UpdateAugust 5, 20212 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
✔ NPI 1386219004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

SAINT MICHAELS MEDICAL CENTER 111 CENTRAL AVENUE, Newark, NJ 07102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rewanth Reddy Katamreddy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Rewanth Katamreddy's NPI number?

The NPI number for Rewanth Katamreddy is 1386219004. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Rewanth Katamreddy located?

Rewanth Katamreddy practices at Saint Michaels Medical Center 111 Central Avenue Floor D7 Medical Education, Newark, NJ 07102. The listed phone number is (973) 877-5465.

What is Rewanth Katamreddy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rewanth Katamreddy enrolled in Medicare?

Yes. Rewanth Katamreddy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rewanth Katamreddy was last updated on August 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.