Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JYOTHSNA M REDDY M.D.
NPI 1679564132
Family Medicine in Crystal, MN

Active since November 03, 2005
5502 W BROADWAY AVE, CRYSTAL, MN 55428(763) 287-6543(763) 287-6544 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jyothsna M Reddy M.d. NPPES

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

JYOTHSNA M REDDY M.D. (NPI 1679564132) is an individual family medicine provider in Crystal, Minnesota, licensed in Minnesota (34539) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1679564132
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJYOTHSNA M REDDYCredential: M.D.
Location Address5502 W BROADWAY AVECrystal, MN 55428-3508
Mailing Address5502 W Broadway AveCrystal, MN 55428-3508 · (763) 287-6543 · Fax (763) 287-6544
Fax(763) 287-6544
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1679564132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 34539
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5502 W BROADWAY AVE, Crystal, MN 55428

Other Identifiers 1

Medicaid4640000400MN

Other Providers at the Same Location NPPES 11

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

Family Medicine
5502 W BROADWAY AVE
CRYSTAL, MN 55428
Family Medicine
5502 W BROADWAY AVE, SUITE 200
CRYSTAL, MN 55428
Family Medicine
5502 W BROADWAY AVE, NORTHWEST FAMILY PHYSICIANS
CRYSTAL, MN 55428
Family Medicine
5502 W BROADWAY AVE
CRYSTAL, MN 55428
Family Medicine
5502 W BROADWAY AVE
CRYSTAL, MN 55428
Family Medicine
5502 W BROADWAY AVE, SUITE 200
CRYSTAL, MN 55428
Family Medicine
5502 W BROADWAY AVE
CRYSTAL, MN 55428
Family Medicine
5502 W BROADWAY AVE
CRYSTAL, MN 55428

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 Jyothsna Reddy's NPI number?

The NPI number for Jyothsna Reddy is 1679564132. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Jyothsna Reddy located?

Jyothsna Reddy practices at 5502 W Broadway Ave, Crystal, MN 55428. The listed phone number is (763) 287-6543.

What is Jyothsna Reddy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jyothsna Reddy was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.