REDDIWANDLA S. REDDY M.D. – NPI #1710996384
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

REDDIWANDLA REDDY is a physician located in LA MESA, CA. NPPES has assigned the NPI number 1710996384 to REDDIWANDLA REDDY on August 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 4 years ago on Feb 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REDDIWANDLA REDDY below.

NPI Profile for
REDDIWANDLA S. REDDY

NPI Number
1710996384
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
REDDIWANDLA S. REDDY
Credentials
M.D.
Primary location
5565 GROSSMONT CENTER DR. BLDG.1 SUITE 202
LA MESA, CA 91942
Phone: (619) 461-6130 Fax: (619) 461-3108
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Feb 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for REDDIWANDLA REDDY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00A380980
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
CA A38098

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
REDDIWANDLA REDDY is affiliated with the following medical group(s):
  • HOSPITAL
    • ALVARADO HOSPITAL MEDICAL CENTER
      6655 ALVARADO ROAD
      SAN DIEGO, CA 92120
    • GROSSMONT HOSPITAL
      5555 GROSSMONT CENTER DRIVE BOX 58
      LA MESA, CA 91942

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.