Individual provider Active NPI

Ryan P Reddy, M.D.

  • Nuclear Imaging & Therapy Physician
  • Irvine, CA
National Provider Identifier
1417214073
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
186907 Issued in CA
Practice address
16105 Sand Canyon Ave Ste 215
Irvine, CA 92618-3779
Phone
(877) 422-9477
NPI assigned
Apr 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 294092 NY
Diagnostic Radiology Physician 2085R0202X 186907 CA
Diagnostic Radiology Physician 2085R0202X 294092 NY
Nuclear Imaging & Therapy Physician 207UN0902X 186907 CA Primary

Addresses

Primary practice location

16105 Sand Canyon Ave Ste 215
Irvine, CA 92618-3779

Mailing address

16105 Sand Canyon Ave Ste 215
Irvine, CA 92618-3779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230823003990 CA Practitioner - Diagnostic Radiology 3173757499 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newport Harbor Radiology Associates Medical Group IncGroup PAC ID 1850285735, 69 clinicians
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-3534

1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533

16105 Sand Canyon Ave
Irvine, CA 92618-3779

500 Superior Ave
Suite 270
Newport Beach, CA 92663-3657
Phone (949) 791-3370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.82

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186907CAMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Harbor Radiology Associates Medical Group, Inc Nuclear Medicine CurrentSince Oct 1, 2023 Accepting new patients
Newport Center Radiology Associates Medical Group Inc Nuclear Medicine CurrentSince Oct 1, 2023 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Newport Center Radiology Medical Group Inc. Past Accepting new patients
Hoag Hospital Past Accepting new patients

Locations

16250 Sand Canyon Ave
Irvine, CA 92618
Phone (855) 999-4641

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

18301 Von Karman Ave
Ste 310
Irvine, CA 92612
Phone (949) 645-3534

360 San Miguel Dr
Ste 105
Newport Beach, CA 92660
Phone (949) 365-3534

360 San Miguel Dr
Ste 1
Newport Beach, CA 92660
Phone (949) 365-3534

360 San Miguel Dr
Ste 105106
Newport Beach, CA 92660

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

Dept LA 21555
Pasadena, CA 91185
Phone (949) 236-8620

Dept LA 21705
Pasadena, CA 91185

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

15000 Kensington Park Dr
Ste 150
Tustin, CA 92782
Phone (714) 477-8340

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 6

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": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1417214073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16105 SAND CANYON AVE STE 215",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16105 SAND CANYON AVE STE 215",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183779",
            "telephone_number": "877-422-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "RYAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NY",
            "license": "294092",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "186907",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "294092",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "CA",
            "license": "186907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.