Individual provider Active NPI

Chiranjeevi Pramodnath Reddy Siddagunta, MBBS

  • Sleep Medicine (Family Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1114205838
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
35.C000357 Issued in OH
Practice address
2123 Auburn Ave Ste 440
Cincinnati, OH 45219-2906
Phone
(513) 648-8980
Fax
(513) 648-8988
NPI assigned
Jul 29, 2011
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-44640 IA
Sleep Medicine (Family Medicine) Physician 207QS1201X 35.C000357 OH Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X MD-44640 IA

Addresses

Primary practice location

2123 Auburn Ave Ste 440
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave Ste 440
Cincinnati, OH 45219-2906
Phone (513) 648-8980

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, IN3 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
I20230330000603 KY Practitioner - Sleep Medicine 5698080356 Reassigns benefits to 1 organization
I20230403000381 OH Practitioner - Sleep Medicine 5698080356 Reassigns benefits to 1 organization
I20230718000825 IN Practitioner - Sleep Medicine 5698080356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

1033 State Rd
Suite 229
Batesville, IN 47006-6808
Phone (513) 648-8980

1955 Dixie Hwy
Suite N
Ft Wright, KY 41011-2792
Phone (513) 241-5489

2123 Auburn Ave
Suite 440
Cincinnati, OH 45219-2906
Phone (513) 421-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
83.07
Promoting interoperability
100
Improvement activities
40
Cost
79.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-44640IAMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince May 1, 2023 Accepting new patients
Christ Hospital Medical Associates II, LLC Family Medicine CurrentSince May 1, 2023 Accepting new patients

Locations

1033 State Road 229
Batesville, IN 47006
Phone (513) 215-9200

1051 State Road 229
Batesville, IN 47006
Phone (812) 933-5110

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

1955 Dixie Hwy
Ste N
Ft Wright, KY 41011
Phone (513) 241-5489

2156 Chamber Center Dr
Lakeside Park, KY 41017
Phone (859) 282-6700

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

2123 Auburn Ave
Ste 440
Cincinnati, OH 45219
Phone (513) 648-8980

2139 Auburn Ave
#47
Cincinnati, OH 45219

5885 Harrison Ave
Cincinnati, OH 45248
Phone (513) 206-1800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1114205838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 440",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-648-8980",
            "fax_number": "513-648-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 440",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-648-8980",
            "fax_number": "513-648-8988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-384-7222",
            "fax_number": "319-384-7822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDAGUNTA",
        "first_name": "CHIRANJEEVI",
        "middle_name": "PRAMODNATH REDDY",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-44640",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "OH",
            "license": "35.C000357",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "IA",
            "license": "MD-44640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.