Individual provider Active NPI

Challa Vema Reddy, MD

  • Family Medicine Physician
  • Dexter, ME
National Provider Identifier
1144228073
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
014170 Issued in ME
Practice address
51 High St
Suite a
Dexter, ME 04930-1326
Phone
(207) 924-7349
Fax
(207) 924-5343
NPI assigned
Jul 13, 2005
Last updated
Mar 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 014170 ME Primary

Addresses

Primary practice location

51 High St
Suite a
Dexter, ME 04930-1326

Mailing address

51 High Street
Suite a
Dexter, ME 04930
Phone (207) 924-7349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040430000838 ME Practitioner - Emergency MedicinePractitioner - Family Practice 0143134676 Reassigns benefits to 7 organizations
I20060407000530 CA Practitioner - Emergency MedicinePractitioner - General SurgeryPractitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Pain ManagementPractitioner - Addiction Medicine 0143134676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Addiction Medicine, General Surgery, Obstetrics/Gynecology, Pain Management
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 652-2811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014170MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince May 25, 2022 Accepting new patients
Maine Medical Services LLC CurrentSince Mar 1, 2019 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince May 25, 2022 Accepting new patients
Sound Physicians of Massachusetts Inc Family Medicine CurrentSince Apr 1, 2015 Accepting new patients
Sound Physicians of Massachusetts, Inc Family Medicine CurrentSince Apr 1, 2015 Accepting new patients
Down East Community Hospital CurrentSince Apr 29, 2022 Accepting new patients
Calais Community Hospital CurrentSince Apr 12, 2022 Accepting new patients
Hospital Medicine Services of Maine LLC CurrentSince Mar 1, 2019 Accepting new patients
Cep America - California Current Accepting new patients
Emergency Medicine Services of Maine, LLC CurrentSince Feb 1, 2019 Accepting new patients
Cep America-California CurrentSince Dec 1, 2015 Accepting new patients
Down East Community Hospital CurrentSince Apr 29, 2022 Accepting new patients
Cep America - California CurrentSince Dec 1, 2015 Accepting new patients
Calais Community Hospital CurrentSince Apr 12, 2022 Accepting new patients
Everyday Family Surgical Medical Family Medicine Past Accepting new patients
Central Valley Urgent Care Medical Group Inc Family Medicine PastSince Sep 29, 2000 Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11784/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/

Organizations & group practices 16

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.

View all 16

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1144228073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HIGH STREET",
            "address_2": "SUITE A",
            "city": "DEXTER",
            "state": "ME",
            "postal_code": "04930",
            "telephone_number": "207-924-7349",
            "fax_number": "207-924-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 HIGH ST",
            "address_2": "SUITE A",
            "city": "DEXTER",
            "state": "ME",
            "postal_code": "049301326",
            "telephone_number": "207-924-7349",
            "fax_number": "207-924-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "CHALLA",
        "middle_name": "VEMA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "014170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, ME

Sources for this page

Verify at the official NPI Registry.