NPIMap

Individual provider Active NPI

Sudhakar A Reddy, MD

  • Gastroenterology Physician
  • Mesa, AZ
National Provider Identifier
1063458735
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
36640 Issued in AZ
Practice address
5555 E Baseline Rd
Mesa, AZ 85206-4709
Phone
(480) 393-5075
Fax
(480) 704-4019
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD043886E PA
Gastroenterology Physician 207RG0100X 36640 AZ Primary

Addresses

Primary practice location

5555 E Baseline Rd
Mesa, AZ 85206-4709

Mailing address

5555 E Baseline Rd
Mesa, AZ 85206-4709
Phone (480) 393-5075

Other identifiers 2

IdentifierTypeStateIssuer
194943MedicaidAZ
01748642MedicaidPA

Other names 1

  • Dr. Sudy A Reddy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070822000999 AZ Practitioner - Gastroenterology 3375518160 Reassigns benefits to 1 organization
I20111012000809 TX Practitioner - Gastroenterology 3375518160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reddy Gi AssociatesGroup PAC ID 1557407459, 18 clinicians

Practice addresses (Care Compare)

5555 E Baseline Rd
Mesa, AZ 85206-4709
Phone (480) 393-0575

Hospital & facility affiliations

  • Banner Ocotillo Medical Center Hospital, Chandler, AZ, CCN 030147
  • Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
76.88
Promoting interoperability
76
Improvement activities
40
Cost
73.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy28
Upper gastrointestinal (GI) endoscopy for acid reflux55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36640AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care CurrentSince Mar 2, 2024 Accepting new patients
Central Arizona Gi & Liver Institute LLC CurrentSince May 10, 2016 Accepting new patients
Gila River Health Care Corporation CurrentSince Mar 2, 2024 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Reddy Gi Associates CurrentSince Jan 10, 2021 Accepting new patients
Brandon Suedekum MD, PC Past Accepting new patients
Clinical Associates in Internal Medicine, LTD Past Accepting new patients
Reddy Medical Associates Gastroenterology PastSince Jan 1, 1990 Accepting new patients

Locations

4001 E Baseline Rd
#102103
Gilbert, AZ 85234

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

5555 E Baseline Rd
Mesa, AZ 85206
Phone (480) 393-5075

1810 S Crismon Rd
Ste 191
Mesa, AZ 85209
Phone (480) 621-5891

Interoperability endpoints

  • Direct secure messaging: gehsreddy@yourcarecommunity.org

Organizations & group practices 10

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 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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1063458735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 E BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064709",
            "telephone_number": "480-393-5075",
            "fax_number": "480-704-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 E BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064709",
            "telephone_number": "480-393-5075",
            "fax_number": "480-704-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SUDHAKAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD043886E",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "36640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194943",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01748642",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUDY",
            "last_name": "REDDY",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.