Individual provider Active NPI

Vijitha Reddy, M.D.

  • Diagnostic Radiology Physician
  • Winter Park, FL
National Provider Identifier
1245381896
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME80136 Issued in FL
Practice address
1110 W Fairbanks Ave
Winter Park, FL 32789-4721
Phone
(407) 629-7474
Fax
(407) 629-7475
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME80136 FL Primary

Addresses

Primary practice location

1110 W Fairbanks Ave
Winter Park, FL 32789-4721

Mailing address

9582 W Colonial Dr
Ocoee, FL 34761-6992
Phone (407) 363-6700

Other identifiers 1

IdentifierTypeStateIssuer
262455900MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040910000684 FL Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 2567439524 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

10105 Clear Vista St
Suite 100
Orlando, FL 32832-6375
Phone (407) 587-0710

10910 State Rd 70 E
103 Simonmed Imaging Lakewood Ranch
Lakewood Ranch, FL 34202-8406
Phone (941) 954-1900

1125 Miranda LN
Kissimmee, FL 34741-0763
Phone (689) 204-0153

11253 Bridge House Rd
Windermere, FL 34786-5403
Phone (480) 306-6949

1227 Daniels Rd
Winter Garden, FL 34787-3835
Phone (689) 407-4115

1315 S Orange Ave
1B Simonmed Imaging Delaney Park
Orlando, FL 32806-2145
Phone (407) 999-9977

1350 W Fairbanks Ave
Simonmed Imaging Winter Park III
Winter Park, FL 32789-4804
Phone (321) 203-5730

13940 N US Hwy 441 201
Simonmed Imaging the Villages
The Villages, FL 32159-8909
Phone (352) 241-7448

14302 Bruce B Downs Blvd
Tampa, FL 33613-2601
Phone (813) 979-7580

1639 N Volusia Ave
Simonmed Imaging Orange City
Orange City, FL 32763-3843
Phone (386) 774-7226

1915 Aloma Ave
Winter Park, FL 32792-3212
Phone (321) 203-5710

208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700

211 N 1St St
Simonmed Imaging Leesburg
Leesburg, FL 34748-5150
Phone (352) 241-7446

2121 S Orange Ave
Simonmed Imaging Kaley II
Orlando, FL 32806-3067
Phone (407) 514-1870

225 W State Rd 434
104 Simonmed Imaging Longwood
Longwood, FL 32750-4980
Phone (407) 304-1000

265 Citrus Tower Blvd
Clermont, FL 34711-1908
Phone (352) 241-7440

2954 Mallory Cir
Suite 104
Celebration, FL 34747-1822
Phone (321) 559-8362

303 W 1St St
Simonmed Imaging Sanford
Sanford, FL 32771-1205
Phone (321) 275-3132

4051 Upper Creek Dr
Suite 103a
Sun City Center, FL 33573-6848
Phone (813) 634-0010

4161 Tamiami TRL
BLDG 2
Port Charlotte, FL 33952-9204
Phone (941) 235-3280

4800 Park Blvd N
Simonmed Imaging Park Blvd
Pinellas Park, FL 33781-3534
Phone (727) 525-2121

5831 Bee Ridge Rd
Suite 102
Sarasota, FL 34233-5089
Phone (941) 954-1900

6000 Turkey Lake Rd
Suite 107
Orlando, FL 32819-4205
Phone (407) 514-1840

613 Oakfield Dr
Brandon, FL 33511-5714
Phone (813) 703-8027

6215 21St Ave W a
Simonmed Imaging Park South
Bradenton, FL 34209-7819
Phone (941) 795-4449

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80136FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Apr 1, 2012 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince May 23, 2022 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Florida Institute of Research Medicine and Surgery PA Past Accepting new patients
Drew Medical Inc Past Accepting new patients

Locations (25 of 56)

2080 W Southern Ave
Bldg C
Apache Junction, AZ 85120
Phone (480) 474-5960

10815 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 423-0121

1664 E Florence Blvd
Ste 18
Casa Grande, AZ 85122
Phone (520) 421-4875

235 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 264-2300

725 S Dobson Rd
Ste 105B
Chandler, AZ 85224
Phone (480) 786-2850

1870 W Frye Rd
Ste 3
Chandler, AZ 85224
Phone (480) 264-2350

2450 E Guadalupe Rd
Ste 109
Gilbert, AZ 85234
Phone (480) 284-6019

875 N Greenfield Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 545-0113

2680 S Val Vista Dr
Ste 135
Gilbert, AZ 85295
Phone (480) 584-4900

5410 W Thunderbird Rd
Ste 210
Glendale, AZ 85306
Phone (602) 535-5210

5410 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 424-0935

13657 W McDowell Rd
Ste 111
Goodyear, AZ 85395
Phone (623) 302-7930

1111 S Dobson Rd
Ste 105
Mesa, AZ 85202
Phone (480) 964-4995

456 N Mesa Dr
Mesa, AZ 85201
Phone (480) 655-7517

130 S 63rd St
Ste 123
Mesa, AZ 85206
Phone (480) 264-4900

1457 W Southern Ave
Ste 26
Mesa, AZ 85202
Phone (480) 827-2237

1425 S Greenfield Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 324-8033

117 E Main St
Ste D100
Payson, AZ 85541
Phone (928) 468-8234

9125 W Thunderbird Rd
Ste 105
Peoria, AZ 85381
Phone (623) 234-8725

9403 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 214-6609

4219 E Bell Rd
Phoenix, AZ 85032
Phone (480) 584-5525

15810 S 45th St
Ste 110
Phoenix, AZ 85048
Phone (480) 743-6161

20830 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 306-7900

4616 N 51st Ave
Ste 104
Phoenix, AZ 85031
Phone (623) 251-2800

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1245381896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9582 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616992",
            "telephone_number": "407-363-6700",
            "fax_number": "407-363-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894721",
            "telephone_number": "407-629-7474",
            "fax_number": "407-629-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "VIJITHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME80136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262455900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.