Individual provider Active NPI

Reena Maridhi Nanjireddy, MD

  • Neurology Physician
  • Sacramento, CA
National Provider Identifier
1164657094
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A139161 Issued in CA
Practice address
3160 Folsom Blvd Ste 2100
Sacramento, CA 95816-5266
Phone
(916) 734-6514
Fax
(916) 734-6525
NPI assigned
May 21, 2009
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A139161 CA Primary

Addresses

Primary practice location

3160 Folsom Blvd Ste 2100
Sacramento, CA 95816-5266

Mailing address

3160 Folsom Blvd Ste 2100
Sacramento, CA 95816-5266
Phone (916) 734-6514

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
I20180920002796 CA Practitioner - NeurologyPractitioner - Psychiatry 0345563912 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 703-3011

271 Turnpike Dr
Folsom, CA 95630-8098
Phone (916) 985-9200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139161CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Oct 1, 2022 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Neurology CurrentSince Oct 1, 2022 Accepting new patients
Regents of the Univ of Ca CurrentSince Oct 1, 2022 Accepting new patients
County of Santa Clara Neurological Surgery CurrentSince Aug 19, 2018 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Aug 19, 2018 Accepting new patients
Regents of the University of California CurrentSince Oct 1, 2022 Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

14264 Innovation Dr
Folsom, CA 95630
Phone (858) 699-5653

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2400 Del Paso Rd
Ste 145
Sacramento, CA 95834
Phone (916) 928-3940

3160 Folsom Blvd
Ste 2100
Sacramento, CA 95816
Phone (916) 734-3588

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

Interoperability endpoints

  • Direct secure messaging: rnanjireddy62948@santaclaravalley.direct-ci.net

Organizations & group practices 11

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 1

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": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1164657094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 FOLSOM BLVD STE 2100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165266",
            "telephone_number": "916-734-6514",
            "fax_number": "916-734-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 FOLSOM BLVD STE 2100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165266",
            "telephone_number": "916-734-6514",
            "fax_number": "916-734-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANJIREDDY",
        "first_name": "REENA",
        "middle_name": "MARIDHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A139161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.