Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kolli Prabhakara Reddy, MD

Individual provider Family Medicine Physician · NPI 1073514543

Dr. Kolli Prabhakara Reddy, MD is a Family Practice in Williston, Florida. Qualified in 1965, 61 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
61
Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

520 SW 5th Ave
Williston, FL 32696
Phone: (352) 528-3770
Fax: (352) 528-0691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME21372 (FL)

Record details

NPI number1073514543
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1965 (61 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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