Active NPI
Vijitha Reddy, M.D.
- Diagnostic Radiology Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME80136
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262455900 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 75.71
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 75.71
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME80136 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Howard John Simon MD PC | Diagnostic Radiology | Current | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Simonmed Reno PLLC | Diagnostic Radiology | Current | 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.
-
dba Simonmed Imaging Tampa
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1972004489
FL
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- New York, NY
- NPI 1932768934
FL
-
dba Reno Diagnostic Center
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1306576145
FL
-
- Specialist
- Ocoee, FL
- NPI 1811989296
-
dba Cancer Centers of Florida
- Hematology & Oncology Physician
- Orlando, FL
- NPI 1053388538
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.