Ponnavolu D. Reddy, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME85679 Issued in FL

Practice address

5115 US Highway 27 N Ste 100
Sebring, FL 33870-1323

Phone

(863) 385-2222

Fax

(863) 382-8765

NPI assigned

Jun 28, 2005

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Orthopedic Surgery

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Joint and Spine Institute PAGroup PAC ID 0547168114, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27269/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71998
• Direct secure messaging: ponnavolu.reddy@floridajointandspine.directbygreenway.com

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.

• Florida Joint & Spine Institute PA

  • Orthopaedic Surgery Physician
  • Sebring, FL
  • NPI 1992705487
  Medicare reassignment Care Compare group NPD
• Specialty Orthopedic Associates PL

  • Orthopaedic Surgery Physician
  • Lake Wales, FL
  • NPI 1881792216
  NPD (past) Authorized official
• Florida Joint & Spine Institute PA

  • Durable Medical Equipment & Medical Supplies
  • Winter Haven, FL
  • NPI 1215526884

  Orthopaedic Surgery

  NPD
• Bond Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Haven, FL
  • NPI 1235641739
  NPD (past)
• Lake Wales Clinic Corp

  • Family Medicine Physician
  • Lake Wales, FL
  • NPI 1457350027

  Orthopaedic Surgery

  NPD (past)
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1154327781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 US HIGHWAY 27 N STE 100",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701323",
            "telephone_number": "863-385-2222",
            "fax_number": "863-382-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 US HIGHWAY 27 N STE 100",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701323",
            "telephone_number": "863-385-2222",
            "fax_number": "863-382-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Avenue B NW",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814506",
            "country_code": "US",
            "telephone_number": "863-299-3210",
            "fax_number": "863-299-2968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PONNAVOLU",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME85679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "51459",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "285029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00282100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Trumble-Crivello (Becky Crivello, SLP Join the Conversation)
• Recovery Centers of America, Inc
• Recovery Centers of Florida, LLC.
• Recovery Centers of Florida, LLC.
• Joseph Hilton Reddick Jr., APRN
• David Reece
• Erica Reed
• Reflections Wellness Center of Florida's Heartland, Inc.
• Regino Rodriguez Flores MD PA
• Rehab Consultants of Central Florida Inc

• Orthopaedic Surgery Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.