Individual provider Active NPI

Chandra S K Reddy, MD

  • Orthopaedic Surgery Physician
  • Jim Thorpe, PA
National Provider Identifier
1407870868
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD 427053 Issued in PA
Practice address
1104 North St
Jim Thorpe, PA 18229-1717
Phone
(610) 954-1735
Fax
(610) 954-2429
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD 427053 PA Primary

Addresses

Primary practice location

1104 North St
Jim Thorpe, PA 18229-1717

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (610) 954-1735

Other practice location 1

1503 Lansdowne Ave Ste 1001
Darby, PA 19023-1330
Phone (610) 237-2770

Other identifiers 1

IdentifierTypeStateIssuer
1016768960002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NH2 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
I20060905000003 PA Practitioner - Orthopedic Surgery 8628072741 Reassigns benefits to 5 organizations
I20251216000770 NH Practitioner - Orthopedic Surgery 8628072741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Medical Group LLCGroup PAC ID 6204145642, 29 clinicians
Core Physicians LLCGroup PAC ID 2769563253, 290 clinicians

Practice addresses (Care Compare)

2705 Dekalb Pike
Suite 309
East Norriton, PA 19401-1852
Phone (610) 275-0200

7 Alumni Dr
Exeter, NH 03833-2118
Phone (603) 777-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 427053PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
St. Luke's Physician Group, Inc. Orthopaedic Surgery CurrentSince Mar 21, 2011 Accepting new patients
Gslpg, Inc CurrentSince Mar 28, 2020 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Orthopaedic Surgery CurrentSince Nov 22, 2023 Accepting new patients
St Luke's Physician Group Inc CurrentSince Mar 21, 2011 Accepting new patients
Core Physicians LLC CurrentSince Jan 13, 2026 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 22, 2023 Accepting new patients
Core Physicians, LLC Orthopaedic Surgery CurrentSince Jan 13, 2026 Accepting new patients
Suburban Medical Group LLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

7 Alumni Dr
Exeter, NH 03833
Phone (603) 777-1000

7 Holland Way
#1
Exeter, NH 03833

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

2 Celeste Dr
Johnstown, PA 15905
Phone (814) 255-6720

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

2705 DeKalb Pike
Ste 309
Norristown, PA 19401
Phone (610) 275-0200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

5735 Ridge Ave
Ste 106
Philadelphia, PA 19128
Phone (215) 482-2412

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: creddy48952@direct.conemaugh.org

Organizations & group practices 12

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 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1407870868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-954-1735",
            "fax_number": "610-954-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 NORTH ST",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182291717",
            "telephone_number": "610-954-1735",
            "fax_number": "610-954-2429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1503 Lansdowne Ave Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231330",
            "country_code": "US",
            "telephone_number": "610-237-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "CHANDRA",
        "middle_name": "S K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD 427053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016768960002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jim Thorpe, PA

Sources for this page

Verify at the official NPI Registry.