Individual provider Active NPI

Radha B Reddy, MD

  • Obstetrics & Gynecology Physician
  • Centerville, OH
National Provider Identifier
1114987617
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35085158 Issued in OH
Practice address
330 N Main St
Centerville, OH 45459-4465
Phone
(937) 435-1445
Fax
(937) 439-7552
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35085158 OH Primary

Addresses

Primary practice location

330 N Main St
Centerville, OH 45459-4465

Mailing address

330 N Main St
Centerville, OH 45459-4465
Phone (937) 435-1445

Other identifiers 2

IdentifierTypeStateIssuer
64096571MedicaidKY
2545973MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050323000398 OH Practitioner - Obstetrics/Gynecology 6901852904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

330 N Main St
Centerville, OH 45459-4465
Phone (937) 435-1445

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35085158OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Pain Center LLC CurrentSince Aug 29, 2019 Accepting new patients
Premier Health Specialists Inc CurrentSince Mar 12, 2012 Accepting new patients
Premier Health Specialists Inc Obstetrics & Gynecology CurrentSince Mar 12, 2012 Accepting new patients
Greater Cincinnati Perinatal Associates, LLC Obstetrics & Gynecology Past Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients
Miami Valley Hospital Past Accepting new patients

Locations

330 N Main St
Centerville, OH 45459
Phone (937) 434-8272

1 Elizabeth Pl
Ste D
Dayton, OH 45417
Phone (937) 222-2233

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

7707 Paragon Rd
Ste 106
Dayton, OH 45459
Phone (937) 208-4110

331 6th Ave
Sidney, OH 45365
Phone (937) 222-2233

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 6

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 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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1114987617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594465",
            "telephone_number": "937-435-1445",
            "fax_number": "937-439-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594465",
            "telephone_number": "937-435-1445",
            "fax_number": "937-439-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "RADHA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35085158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64096571",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2545973",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.