NPIMap

Individual provider Active NPI

Sridhar V Reddy, MD

  • Internal Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1033268040
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37618 Issued in CO
Practice address
2920 N Cascade Ave
2ND Floor
Colorado Springs, CO 80907-6262
Phone
(719) 227-0027
Fax
(719) 955-4058
NPI assigned
Jan 9, 2007
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37618 CO Primary

Addresses

Primary practice location

2920 N Cascade Ave
2ND Floor
Colorado Springs, CO 80907-6262

Mailing address

2920 N Cascade Ave
2ND Floor
Colorado Springs, CO 80907-6262
Phone (719) 227-0027

Other identifiers 2

IdentifierTypeStateIssuer
P00307583OtherCORAILROAD MEDICARE
11776749MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000972 CO Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3870588247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pikes Peak Discharge ClinicGroup PAC ID 7618402439, 6 clinicians
Internal Medicine Associates of Colorado Springs PCGroup PAC ID 8022024702, 2 clinicians

Practice addresses (Care Compare)

2920 N Cascade Ave
FL 2
Colorado Springs, CO 80907-6262
Phone (719) 247-2532

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37618COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pikes Peak Discharge Clinic Internal Medicine CurrentSince Dec 4, 2024 Accepting new patients
Internal Medicine Associates of Colorado Springs PC Internal Medicine CurrentSince Jan 3, 2006 Accepting new patients
Peak Gastroenterology Associates Past Accepting new patients

Locations

2920 N Cascade Ave
#2
Colorado Springs, CO 80907
Phone (719) 227-0027

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

2920 N Cascade Ave
Fl 2
Colorado Springs, CO 80907
Phone (719) 227-0027

2920 N Cascade Ave
Ste 2
Colorado Springs, CO 80907
Phone (719) 227-0027

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

2920 N Cascade Ave
Ste 301
Colorado Springs, CO 80907
Phone (719) 659-0275

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • CO HMO C-SNP

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Centercare Hospice LLCPueblo, CO, CCN 061554 Hospice 5% Or Greater Direct Ownership Interest (5.28%) Feb 12, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1033268040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "2ND FLOOR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-227-0027",
            "fax_number": "719-955-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "2ND FLOOR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-227-0027",
            "fax_number": "719-955-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SRIDHAR",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "37618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00307583",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11776749",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.