Individual provider Active NPI

Ananthram Pottipati Reddy, M.D.

  • Gastroenterology Physician
  • Santee, CA
National Provider Identifier
1124014923
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C 52423 Issued in CA
Practice address
9456 Cuyamaca St Ste 102
Santee, CA 92071-5919
Phone
(619) 588-4074
Fax
(619) 588-4004
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD044783L PA
Gastroenterology Physician 207RG0100X C 52423 CA Primary
Gastroenterology Physician 207RG0100X 17118 WV
Gastroenterology Physician 207RG0100X 35064253 OH

Addresses

Primary practice location

9456 Cuyamaca St Ste 102
Santee, CA 92071-5919

Mailing address

9456 Cuyamaca St
Suite 102
Santee, CA 92071-5915
Phone (619) 588-4074

Other practice location 1

6699 Alvarado Rd Ste 2301
San Diego, CA 92120-5241
Phone (619) 588-4074

Other identifiers 5

IdentifierTypeStateIssuer
0858620MedicaidOH
3004393000MedicaidWV
GN258AOtherCAMEDICARE GROUP PTAN
GN609ZOtherCAMEDICARE PTAN
W21999OtherCAMEDICARE PTAN SDIGN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20061030000592 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 7517908494 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

9456 Cuyamaca St
Suite 102
Santee, CA 92071-5919
Phone (619) 270-5665

Hospital & facility affiliations

  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100

Merit-based Incentive Payment System (MIPS)

Final score
22.86 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy119
Upper gastrointestinal (GI) endoscopy for acid reflux138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044783LPAMDGastroenterology Physician
17118WVMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2014 Accepting new patients
Emergency Associates Corporation CurrentSince Jul 18, 2017 Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients

Locations

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rananthram@alvarado.adaptamed.direct-ci.com
  • Direct secure messaging: ananthram@reddy.adaptamed.direct-ci.com

Organizations & group practices 4

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 6

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1124014923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9456 CUYAMACA ST",
            "address_2": "SUITE 102",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715915",
            "telephone_number": "619-588-4074",
            "fax_number": "619-588-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9456 CUYAMACA ST STE 102",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715919",
            "telephone_number": "619-588-4074",
            "fax_number": "619-588-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6699 Alvarado Rd Ste 2301",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921205241",
            "country_code": "US",
            "telephone_number": "619-588-4074",
            "fax_number": "619-588-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "ANANTHRAM",
        "middle_name": "POTTIPATI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD044783L",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C 52423",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "17118",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35064253",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0858620",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004393000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "GN258A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GN609Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN SDIGN",
            "identifier": "W21999",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

Verify at the official NPI Registry.