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

Pavan Reddy, MD

Individual provider Family Medicine Physician · NPI 1578135182

Pavan Reddy, MD is a Family Practice in Bismarck, North Dakota. Qualified in 2019, 7 years ago. Practices with St Alexius Medical Center, a 241-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
7
Licensed in
ND
In the registry since
2021
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

701 E Rosser Ave
Bismarck, ND 58501-4457
Phone: (701) 751-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 21317 (ND)
Family Medicine Physician Taxonomy 207Q00000X · Licence RL17385 (ND)

Record details

NPI number1578135182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2021
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address701 E Rosser Ave, Bismarck, ND 58501-4457

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Alexius Medical Center — 241 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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