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

Dr. Prajwal Reddy, MD

Individual provider Cardiovascular Disease Physician · NPI 1629457023

Dr. Prajwal Reddy, MD is a Cardiovascular Disease (Cardiology) in Jacksonville, Florida. Graduated from Medical College of Wisconsin in 2015, 11 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Minnesota.

Years since qualifying
11
Trained at
Medical College of Wisconsin
Licensed in
FL, MN
In the registry since
2015
Specialties on file
2
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

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 420 Delaware St Se, Minneapolis, MN 55455-0341 — (612) 626-5031
  • 200 1st St Sw, Rochester, MN 55905 — (507) 284-2511

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence ME154452 (FL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 63826 (MN)

Record details

NPI number1629457023
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2015
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2015 (11 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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