Bhavananda T Reddy, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

59599 Issued in AZ

Practice address

444 W Bourne Cir Ste 200
Farmington, UT 84025

Phone

(801) 776-0174

Fax

(801) 825-3904

NPI assigned

Sep 30, 2006

Last updated

Dec 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiojost PLLCGroup PAC ID 2062429913, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Merit-based Incentive Payment System (MIPS)

Final score

89.38 of 100Reported as group

Quality

94.74

Promoting interoperability

99

Improvement activities

40

Cost

70.7

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bhavananda.reddy.p1@direct.swcva.nextgenshare.com
• Direct secure messaging: bhavananda.reddy.p2@direct.swcva.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Cardiojost, PLLC

  dba Southwest Cardiovascular Associates

  • Cardiovascular Disease Physician
  • Mesa, AZ
  • NPI 1023122843
  Medicare reassignment Care Compare group NPD
• Northwest Allied Physicians LLC

  • General Practice Physician
  • Tucson, AZ
  • NPI 1003833179

  Internal Medicine

  Medicare reassignment NPD
• Southwest Cardiovascular Interventional Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1588203723
  Medicare reassignment NPD
• Northwest Allied Physicians, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oro Valley, AZ
  • NPI 1821302910
  NPD
• Chan Heart Rhythm Institute PLLC

  dba East Valley Heart

  • Clinical Cardiac Electrophysiology Physician
  • Mesa, AZ
  • NPI 1174949754
  NPD (past)
• Southwest Endovascular Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1760021802
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1326130758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W BOURNE CIR STE 200",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253657",
            "telephone_number": "801-397-3000",
            "fax_number": "801-397-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W BOURNE CIR STE 200",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "84025",
            "telephone_number": "801-776-0174",
            "fax_number": "801-825-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "BHAVANANDA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "6341978-1205",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "59599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevyn Pruitt
• Alice Elizabeth Pugh
• Amie Quinones, PHARMD
• Madison Radcliffe, ED.S.
• Kristi Diane Reardon, RPSGT, CCSH
• Shanna Reeder, MS, CCC-SLP
• Renaissance Ranch Outpatient Treatment
• Cynthia Renteria, CMHC-I
• Resilient Life Counseling, LLC
• Rhodes Physical Therapy, Inc

• Interventional Cardiology Physician in Farmington, UT
• Providers in Farmington, UT by specialty
• Interventional Cardiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.

Verify at the official NPI Registry.