Kavitha Reddy, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

235776 Issued in MA

Practice address

37 Edgerton Dr Ste 1
North Falmouth, MA 02556-2841

Phone

(508) 563-2550

Fax

(508) 563-2570

NPI assigned

Jun 6, 2008

Sex

Female

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 MA

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

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Boston University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Dermatology Associates PCGroup PAC ID 3072403799, 84 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.63 of 100Reported as group

Quality

84.27

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kavitha.reddy@pd.eclinicaldirectplus.com
• Direct secure messaging: kreddy@nedermatology.emadirect.md

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.

• Northeast Dermatology Associates, PC

  • Specialist
  • North Andover, MA
  • NPI 1104921162

  MA

  Medicare reassignment Care Compare group NPD
• Northeast Dermatology Associates, PC

  • Specialist
  • Exeter, NH
  • NPI 1508061839
  Care Compare group
• Child Health Foundation of Boston, Inc.

  • Pediatrics Physician
  • Boston, MA
  • NPI 1619969920
  NPD
• Neda at North Shore PC

  • Dermatology Physician
  • Marblehead, MA
  • NPI 1902345861

  Dermatology

  NPD
• Evans Medical Foundation, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1912954124
  NPD (past)
• University Skin Oncologists, Inc

  • Dermatology Physician
  • Beverly, MA
  • NPI 1730526484

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1407015266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 EDGERTON DR STE 1",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025562841",
            "telephone_number": "508-563-2550",
            "fax_number": "508-563-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 EDGERTON DR STE 1",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025562841",
            "telephone_number": "508-563-2550",
            "fax_number": "508-563-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "KAVITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "235776",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "235776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast RX Inc
• James William Oconnor, MD
• Sarah Orciuch, PA-C
• Shantelle Aesha Pimentel, HIS
• Vicki Putz, PSY.D.
• Robert M Reece, M.D.
• Regional Cancer Care Associates LLC
• Revert LLC
• Shannon Ryberg, MSOTR/L, CLT
• Myles Shepherd, MSN, ACNPC-AG

• All providers in North Falmouth, MA
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.