Active NPI
Mohan P. Reddy
- Allergy & Immunology Physician
- Merced, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A262450
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A262450 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- 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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 86.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26245 | CA | MD | Dentist |
| A262450 | CA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | 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
- 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.
-
- Allergy & Immunology Physician
- Merced, CA
- NPI 1447370804
-
- Federally Qualified Health Center (FQHC)
- Turlock, CA
- NPI 1356445753
-
dba Mercy Medical Center Merced
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1174615330
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.