NYSHIDHA GURIJALA REDDY MD
NPI 1629727920
Allergy & Immunology in Providence, RI

Active since March 22, 2022PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 793-2695(401) 444-4165 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 2, 2025, May 10, 2025 (2 updates tracked since 2025).

About Nyshidha Gurijala Reddy Md NPPES

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

NYSHIDHA GURIJALA REDDY MD (NPI 1629727920) is an individual allergy & immunology provider in Providence, Rhode Island, licensed in Rhode Island (LP06504) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1629727920
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameNYSHIDHA GURIJALA REDDYCredential: MD
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address593 Eddy StProvidence, RI 02903-4923 · (401) 444-2737 · Fax (401) 649-4248
Fax(401) 444-4165
Sole ProprietorNo
Enumeration DateMarch 22, 2022
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1629727920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in RI · LP06504
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
593 EDDY ST, Providence, RI 02903

Other Names 1

Former Name (1)Nyshidha Gurijala Md

Secondary Practice Location 1

Location 1801 Massachusetts Ave Fl 6Boston, MA 02118-2605 · Phone (617) 414-5951 · Fax (617) 414-9251

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nyshidha Gurijala Reddy Md 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.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

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 Nyshidha Reddy's NPI number?

The NPI number for Nyshidha Reddy is 1629727920. It was assigned to this individual provider in the NPPES registry on March 22, 2022. The provider is also known as Nyshidha Gurijala MD.

Where is Nyshidha Reddy located?

Nyshidha Reddy practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 793-2695.

What is Nyshidha Reddy's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Nyshidha Reddy enrolled in Medicare?

Yes. Nyshidha Reddy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nyshidha Reddy was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.