Individual provider Active NPI

Mohan P. Reddy

  • Allergy & Immunology Physician
  • Merced, CA
National Provider Identifier
1184722183
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A262450 Issued in CA
Practice address
750 West Olive Ave.
Ste. 103
Merced, CA 95348-2436
Phone
(209) 383-6868
Fax
(209) 383-0760
NPI assigned
Sep 21, 2006
Last updated
Sep 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A262450 CA Primary

Addresses

Primary practice location

750 West Olive Ave.
Ste. 103
Merced, CA 95348-2436

Mailing address

750 West Olive Ave.
Ste. 103
Merced, CA 95348-2436
Phone (209) 383-6868

Other identifiers 1

IdentifierTypeStateIssuer
00A262450MedicaidCA

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
I20041008000964 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5890754345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 W Olive Ave
Suite 103
Merced, CA 95348-2436
Phone (209) 383-6868

Merit-based Incentive Payment System (MIPS)

Final score
97.39 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
86.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26245CAMDDentist
A262450CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Dec 18, 2020 Accepting new patients
Golden Valley Health Centers CurrentSince Dec 18, 2020 Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mohan.reddy.p1@direct.castle.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1184722183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WEST OLIVE AVE.",
            "address_2": "STE. 103",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482436",
            "telephone_number": "209-383-6868",
            "fax_number": "209-383-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WEST OLIVE AVE.",
            "address_2": "STE. 103",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482436",
            "telephone_number": "209-383-6868",
            "fax_number": "209-383-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MOHAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A262450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A262450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.