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

Individual provider Nephrology Physician · NPI 1861685844

Dr. Venkata R. Reddivari, MD is a Nephrology in Tampa, Florida. Qualified in 1997, 29 years ago. Practices with Karon R Locicero MD PA, a 20-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
29
Licensed in
FL
In the registry since
2007
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

2810 W Saint Isabel St Ste 101
Tampa, FL 33607-6375
Phone: (813) 873-7479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence ME116695 (FL)

Record details

NPI number1861685844
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2007
Last updated in NPPESApril 14, 2015

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Karon R Locicero Md Pa — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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