Individual provider Active NPI

Archana Venumbaka Reddy, M.D.

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1104814219
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R7094 Issued in TX
Practice address
5240 E Knight Dr
Ste 104
Tucson, AZ 85712-2183
Phone
(520) 888-6600
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X R7094 TX
Ophthalmology Physician 207W00000X R7094 TX Primary

Addresses

Primary practice location

5240 E Knight Dr
Ste 104
Tucson, AZ 85712-2183

Mailing address

5240 E Knight Dr
Ste 104
Tucson, AZ 85712-2183
Phone (520) 888-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20191007003706 AZ Practitioner - Ophthalmology 2567441249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates LTDGroup PAC ID 1355232653, 7 clinicians

Practice addresses (Care Compare)

5240 E Knight Dr
Suite 104
Tucson, AZ 85712-2122
Phone (520) 795-4202

Merit-based Incentive Payment System (MIPS)

Final score
90.22 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7094TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates LTD Ophthalmology CurrentSince Oct 1, 2019 Accepting new patients
Tylock-George Cosmetic PA CurrentSince Nov 17, 2024 Accepting new patients
Eye Associates LTD Ophthalmology CurrentSince Oct 1, 2019 Accepting new patients
Eye Associates LTD Ophthalmology Current Accepting new patients
Moses & Mouser, M.D.'S, Inc. Ophthalmology Past Accepting new patients

Locations

5240 E Knight Dr
Ste 104
Tucson, AZ 85712
Phone (520) 795-4202

6130 N La Cholla Blvd
Ste 245
Tucson, AZ 85741
Phone (520) 297-0888

3100 N MacArthur Blvd
Irving, TX 75062
Phone (972) 258-6400

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1104814219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 E KNIGHT DR",
            "address_2": "STE 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122183",
            "telephone_number": "520-888-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 E KNIGHT DR",
            "address_2": "STE 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122183",
            "telephone_number": "520-888-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "ARCHANA",
        "middle_name": "VENUMBAKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2021-08-19",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "TX",
            "license": "R7094",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "R7094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.