Individual provider Active NPI

Denise H Reddy, MD

  • Diagnostic Radiology Physician
  • Sun City West, AZ
National Provider Identifier
1306845862
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36384 Issued in AZ
Practice address
14502 W. Meeker Blvd
Sun City West, AZ 85375
Phone
(623) 524-4000
NPI assigned
Jul 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35086144R OH
Diagnostic Radiology Physician 2085R0202X 36384 AZ Primary

Addresses

Primary practice location

14502 W. Meeker Blvd
Sun City West, AZ 85375

Mailing address

14502 W. Meeker Blvd
Sun City West, AZ 85375
Phone (623) 524-4000

Other identifiers 1

IdentifierTypeStateIssuer
188824MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070308000438 AZ Practitioner - Diagnostic Radiology 5193700334 Reassigns benefits to 3 organizations
I20230817003372 CA Practitioner - Diagnostic Radiology 5193700334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Diagnostic Radiology Group LLCGroup PAC ID 1658796859, 62 clinicians

Practice addresses (Care Compare)

4915 E Baseline Rd
Suite 116
Gilbert, AZ 85234-2966
Phone (480) 354-9200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35086144ROHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Diagnostic Radiology Group, LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Aug 1, 2022 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology Past Accepting new patients
Unimed, LTD Diagnostic Radiology Past Accepting new patients
Oxford Radiology Inc Past Accepting new patients

Locations

1840 W Apache Trl
Apache Junction, AZ 85120
Phone (480) 288-6400

4915 E Baseline Rd
Ste 116
Gilbert, AZ 85234
Phone (480) 354-9200

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

21300 N John Wayne Pkwy
Ste 113
Maricopa, AZ 85139
Phone (520) 568-6411

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

4530 E Ray Rd
Ste 160
Phoenix, AZ 85044
Phone (480) 893-1004

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

2501 E Southern Ave
Ste 811
Tempe, AZ 85282
Phone (480) 820-2021

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

1510 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2851

72855 Fred Waring Dr
Palm Desert, CA 92260
Phone (760) 837-1420

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262
Phone (760) 318-2980

35800 Bob Hope Dr
Ste 150A
Rancho Mirage, CA 92270
Phone (760) 770-1920

57840 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 228-1047

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1306845862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 W. MEEKER BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "85375",
            "telephone_number": "623-524-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 W. MEEKER BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "85375",
            "telephone_number": "623-524-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "DENISE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35086144R",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "36384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188824",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.