Individual provider Active NPI

Vivek Kasi Reddy, MD

  • Internal Medicine Physician
  • Newark, DE
National Provider Identifier
1053448431
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0008799 Issued in DE
Practice address
111 Continental Dr
Suite 406
Newark, DE 19713-4306
Phone
(302) 368-2630
Fax
(302) 368-1271
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C7-0003194 DE
Internal Medicine Physician 207R00000X C1-0008799 DE Primary

Addresses

Primary practice location

111 Continental Dr
Suite 406
Newark, DE 19713-4306

Mailing address

111 Continental Dr
Suite 406
Newark, DE 19713-4306
Phone (302) 368-2630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20081029000106 DE Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6305904731 Reassigns benefits to 7 organizations
I20141001002268 MD Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6305904731 Reassigns benefits to 1 organization
I20170310000658 PA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6305904731 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Jefferson Medical College of Thomas Jefferson University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Physicians, LLCGroup PAC ID 3476441841, 46 clinicians
Delaware Post Acute Medical Services 1Group PAC ID 2466727755, 34 clinicians

Practice addresses (Care Compare)

1 Centurian Dr
Suite 200
Newark, DE 19713-2150
Phone (302) 366-8600

3540 Three Little Bakers Blvd
Wilmington, DE 19808-1754
Phone (302) 455-0808

700 N Franklin St
West Chester, PA 19380-2334
Phone (610) 696-5211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7-0003194DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania HM Associates PC CurrentSince Jun 30, 2024 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
De Pacs 2 PA CurrentSince Oct 15, 2020 Accepting new patients
Inpatient Consultants of Pennsylvania PC Internal Medicine CurrentSince Dec 31, 2016 Accepting new patients
NJ Pacs 2 PA CurrentSince Jan 1, 2021 Accepting new patients
Inpatient Consultants of Pennsylvania PC Internal Medicine Current Accepting new patients
Kshama Garg Internal Medicine Past Accepting new patients
Inpatient Consultants of Maryland, P.C. Internal Medicine Past Accepting new patients
MD Pacs 2 PC Internal Medicine Past Accepting new patients

Locations

1240 McKee Rd
Dover, DE 19904
Phone (302) 672-5800

500 S Broad St
Middletown, DE 19709
Phone (302) 449-3400

111 Continental Dr
Ste 406
Newark, DE 19713
Phone (302) 368-2630

3540 Three Little Bakers Blvd
Wilmington, DE 19808
Phone (215) 967-1079

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

2000 Old West Chester Pike
Havertown, PA 19083
Phone (610) 536-2100

2600 Belmont Ave
Philadelphia, PA 19131
Phone (215) 581-0705

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

2815 Byberry Rd
Uppr Moreland, PA 19040
Phone (215) 302-3748

Interoperability endpoints

  • Direct secure messaging: vivek.reddy.p3@direct.chv.nextgenshare.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1053448431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CONTINENTAL DR",
            "address_2": "SUITE 406",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134306",
            "telephone_number": "302-368-2630",
            "fax_number": "302-368-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CONTINENTAL DR",
            "address_2": "SUITE 406",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134306",
            "telephone_number": "302-368-2630",
            "fax_number": "302-368-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "VIVEK",
        "middle_name": "KASI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C7-0003194",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0008799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.