Active NPI
Mahender Reddy, M.D.
- Cardiovascular Disease Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 83848
- Practice address
- 3970 Deputy Bill Cantrell Mem
Cumming, GA 30040-3069 - Phone
- (678) 513-2273
- Fax
- (678) 513-8869
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 6486 | AL | |
| Cardiovascular Disease Physician | 207RC0000X | 83848 | GA | Primary |
Addresses
Primary practice location
3970 Deputy Bill Cantrell Mem
Cumming, GA 30040-3069
Mailing address
3970 Deputy Bill Cantrell Mem Ste 100
Cumming, GA 30040-3069
Phone (678) 513-2273
Other practice location 1
817 Princeton Ave SW
Professional Bldg 2 Suite 202
Birmingham, AL 35211-1333
Phone (205) 786-8815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051512621 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3970 Deputy Bill Cantrell Mem
Cumming, GA 30040-3069
Phone (678) 513-2273
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.65 of 100
- Quality
- 90.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6486 | AL | MD | Cardiovascular Disease Physician |
| 83848 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart and Vascular Care | Current | Accepting new patients | |
| Heart and Vascular Care, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Nephrology Medical Associates of Georgia LLC | Past | Accepting new patients | |
| Cardiovascular Associates of North Alabama, P.C. | Cardiovascular Disease | Past | Accepting new patients |
Locations
3905 Brookside Pkwy
Ste 101
Alpharetta, GA 30022
3905 Brookside Pkwy
Ste 202
Alpharetta, GA 30022
Phone (770) 751-9131
4465 Nelson Brogdon Blvd
Ste 103
Buford, GA 30518
450 Northside Cherokee Blvd
Ste 300
Canton, GA 30115
320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535
1495 Hickory Flat Hwy
Ste 140
Canton, GA 30115
970 Joe Frank Harris Pkwy SE
Ste 380A
Cartersville, GA 30120
101 Greenfield Dr
Ste 260
Cumming, GA 30040
3970 Deputy Bill Cantrell Mem
Ste 100
Cumming, GA 30040
3970 Deputy Bill Cantrell Mem
Cumming, GA 30040
Phone (678) 208-6146
73 Prestige Ln
Ste 205
Dawsonville, GA 30534
433 Highland Pkwy
Ste 201
Ellijay, GA 30540
Phone (706) 253-5514
49 Gordon Rd
Ste 201
Jasper, GA 30143
53 Gordon Rd
Ste 102
Jasper, GA 30143
290 Heritage Walk
Ste B
Woodstock, GA 30188
Phone (770) 382-0185
Interoperability endpoints
- mahenderreddy@cpc.allscriptsdirect.net
- https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4
- mahender.reddy.1@1164.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Cumming, GA
- NPI 1144371576
-
- Cardiac Rehabilitation Registered Nurse
- Cumming, GA
- NPI 1740960434
-
- Cardiovascular Disease Physician
- Birmingham, AL
- NPI 1295784148
-
dba DaVita Nephrology Partners
- Nephrology Physician
- Hermiston, OR
- NPI 1093775645
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1265497465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3970 DEPUTY BILL CANTRELL MEM STE 100",
"city": "CUMMING",
"state": "GA",
"postal_code": "300403069",
"telephone_number": "678-513-2273",
"fax_number": "678-513-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 DEPUTY BILL CANTRELL MEM",
"city": "CUMMING",
"state": "GA",
"postal_code": "300403069",
"telephone_number": "678-513-2273",
"fax_number": "678-513-8869"
}
],
"practiceLocations": [
{
"address_1": "817 Princeton Ave SW",
"address_2": "Professional Bldg 2 Suite 202",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352111333",
"country_code": "US",
"telephone_number": "205-786-8815",
"fax_number": "205-786-8835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "MAHENDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "6486",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "83848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051512621",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.