Individual provider Active NPI

Chandan Gopal Reddy, M.D.

  • Neurological Surgery Physician
  • Celebration, FL
National Provider Identifier
1356558175
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME131814 Issued in FL
Practice address
400 Celebration PL Ste A360
Celebration, FL 34747-4970
Phone
(407) 975-0200
Fax
(407) 550-8045
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 53831 MN
Neurological Surgery Physician 207T00000X ME131814 FL Primary
Neurological Surgery Physician 207T00000X R-7346 IA
Neurological Surgery Physician 207T00000X 39093 IA

Addresses

Primary practice location

400 Celebration PL Ste A360
Celebration, FL 34747-4970

Mailing address

265 E Rollins St Ste 12000
Orlando, FL 32804-5571
Phone (407) 975-0200

Other identifiers 2

IdentifierTypeStateIssuer
020526100MedicaidFL
IY844ZOtherFLMEDICARE

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
I20170614002315 FL Practitioner - Neurosurgery 9032234349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Fairbanks Partners LLCGroup PAC ID 8820303621, 37 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

400 Celebration PL
Celebration, FL 34747-4970
Phone (407) 975-0200

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion63
Laminectomy or laminotomy (partial removal of spine bones)28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39093IAMDNeurological Surgery Physician
R-7346IAMDNeurological Surgery Physician
53831MNMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks Partners LLC Neurological Surgery CurrentSince Sep 1, 2019 Accepting new patients
Fairbanks Partners LLC Neurological Surgery CurrentSince Sep 1, 2019 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Aug 10, 2018 Accepting new patients
Orlando Neurosurgery, P.a. Neurological Surgery Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

311 N Clyde Morris Blvd
Ste 550
Daytona Beach, FL 32114
Phone (386) 258-5470

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

400 Celebration Pl
Ste A360
Kissimmee, FL 34747
Phone (407) 303-4829

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

265 E Rollins St
Ste 12000
Orlando, FL 32804

1605 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 845-8356

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBACD

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1356558175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E ROLLINS ST STE 12000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045571",
            "telephone_number": "407-975-0200",
            "fax_number": "407-975-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CELEBRATION PL STE A360",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474970",
            "telephone_number": "407-975-0200",
            "fax_number": "407-550-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "CHANDAN",
        "middle_name": "GOPAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MN",
            "license": "53831",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME131814",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IA",
            "license": "R-7346",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IA",
            "license": "39093",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020526100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IY844Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.