Individual provider Active NPI

Anil Kumar Reddy, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tulsa, OK
National Provider Identifier
1003981135
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
21535 Issued in OK
Practice address
9725 East 79TH Street
Suit a
Tulsa, OK 74133-4569
Phone
(918) 252-0112
Fax
(918) 252-0103
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 21535 OK Primary

Addresses

Primary practice location

9725 East 79TH Street
Suit a
Tulsa, OK 74133-4569

Mailing address

9725 East 79TH Street
Suit a
Tulsa, OK 74133-4569
Phone (918) 252-0112

Other identifiers 2

IdentifierTypeStateIssuer
200216530AMedicaidOK
100010230BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100807000047 OK Practitioner - Physical Medicine and Rehabilitation 1456458140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9725 E 79TH St
Suite a
Tulsa, OK 74133-4569
Phone (918) 252-0112

Hospital & facility affiliations

  • Pam Rehabilitation Hospital of Tulsa Inpatient rehabilitation facility, Tulsa, OK, CCN 373035

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as individual
Quality
70.01
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21535OKMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omega Practice Management Inc Pain Medicine CurrentSince Oct 1, 2002 Accepting new patients
Dr Ashok Kache MD Inc Past Accepting new patients

Locations

9725 E 79th St
Ste A
Tulsa, OK 74133
Phone (918) 252-0112

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAFDCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HAFDCA/Endpoint/HAFDCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1003981135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 EAST 79TH STREET",
            "address_2": "SUIT A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334569",
            "telephone_number": "918-252-0112",
            "fax_number": "918-252-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 EAST 79TH STREET",
            "address_2": "SUIT A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334569",
            "telephone_number": "918-252-0112",
            "fax_number": "918-252-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "ANIL",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OK",
            "license": "21535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200216530A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100010230B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.