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GAUTHAM GUMMADI REDDY MD LIMITED
NPI 1962671586
Family Medicine in Henderson, NV

Active since February 28, 2008
2540 W HORIZON RIDGE PKWY, HENDERSON, NV 89052(702) 385-7001(702) 385-7002 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 3, 2022, Feb 1, 2022, Feb 7, 2017 (3 updates tracked since 2017).

About Gautham Gummadi Reddy Md Limited NPPES

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

GAUTHAM GUMMADI REDDY MD LIMITED (NPI 1962671586) is a healthcare organization registered as a family medicine in Henderson, Nevada and active in the NPI registry since February 2008. The organization lists Gautham Gummadi Reddy, President, as its authorized official.

NPPES Registry Identity

NPI1962671586
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGAUTHAM GUMMADI REDDY MD LIMITED
Location Address2540 W HORIZON RIDGE PKWYHenderson, NV 89052-5616
Mailing AddressPo Box 531352Henderson, NV 89053-1352 · (027) 385-7001 · Fax (702) 385-7001
Phone(702) 385-7001
Fax(702) 385-7002
Organization SubpartNo
Authorized OfficialGautham Gummadi ReddyPresident · (702) 385-7001
Enumeration DateFebruary 28, 2008
Last NPPES UpdateMay 3, 20223 updates tracked since enumeration
NPPES CertifiedMay 3, 2022
✔ NPI 1962671586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NV · 9807
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.
2540 W HORIZON RIDGE PKWY, Henderson, NV 89052
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gautham Gummadi Reddy Md Limited is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Gautham Gummadi Reddy MD Limited, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Lauren Bedrock, APRN
Nurse Practitioner
NPI 1093398190
2540 W HORIZON RIDGE PKWY
Las Vegas, NV 89052
(702) 385-7001
✔ PECOS✔ Accepts MedicareSame address
Gautham Reddy, M.D.
Family Practice
NPI 1205905478
2540 W HORIZON RIDGE PKWY
Henderson, NV 89052
(702) 385-7001
✔ PECOS✔ Accepts MedicareSame address
Emily Beltran, APRN, FNP-C
Nurse Practitioner
NPI 1316653850
2540 W HORIZON RIDGE PKWY
Henderson, NV 89052
(702) 385-7001
✔ PECOS✔ Accepts MedicareSame address
Patrick Keefe, DO
Family Practice
NPI 1124519970
2540 W HORIZON RIDGE PKWY
Henderson, NV 89052
(702) 385-7001
✔ PECOS✔ Accepts MedicareSame address
Jona Stead, AGNP, APN-BC
Nurse Practitioner
NPI 1891141552
2540 W HORIZON RIDGE PKWY
Henderson, NV 89052
(702) 385-7001
✔ PECOS✔ Accepts MedicareSame address

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 Gautham Gummadi Reddy MD Limited's NPI number?

The NPI number for Gautham Gummadi Reddy MD Limited is 1962671586. It was assigned to this organization in the NPPES registry on February 28, 2008.

Where is Gautham Gummadi Reddy MD Limited located?

Gautham Gummadi Reddy MD Limited is located at 2540 W Horizon Ridge Pkwy, Henderson, NV 89052. The listed phone number is (702) 385-7001.

What is Gautham Gummadi Reddy MD Limited's specialty?

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

Is Gautham Gummadi Reddy MD Limited enrolled in Medicare?

Yes. Gautham Gummadi Reddy MD Limited is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gautham Gummadi Reddy MD Limited?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Gautham Gummadi Reddy MD Limited. 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. The largest specialties are Nurse Practitioner (3) and Family Practice (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gautham Gummadi Reddy MD Limited was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.