Individual provider Active NPI

Venkat Manoranjan Reddy, M.D.

  • Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1437169042
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101051339 Issued in VA
Practice address
4433 Corporation LN Ste 195
Virginia Beach, VA 23462-3363
Phone
(757) 622-7000
Fax
(757) 623-6708
NPI assigned
Aug 8, 2006
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101051339 VA Primary

Addresses

Primary practice location

4433 Corporation LN Ste 195
Virginia Beach, VA 23462-3363

Mailing address

4433 Corporation LN Ste 195
Virginia Beach, VA 23462-3363
Phone (757) 622-7000

Other identifiers 1

IdentifierTypeStateIssuer
6303251MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20111212000112 VA Practitioner - Ophthalmology 5395910038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Chicago, Pritzker School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4433 Corporation LN
Suite 195
Virginia Beach, VA 23462-3363
Phone (757) 622-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101051339VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Group of Tidewater PC CurrentSince Aug 1, 1994 Accepting new patients
Colon Rectal Surgery of Tidewater, P.C. Past Accepting new patients

Locations

400 Gresham Dr
Ste 308
Norfolk, VA 23507
Phone (757) 622-7000

4433 Corporation Ln
Ste 195
Virginia Beach, VA 23462
Phone (757) 604-9544

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1437169042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 CORPORATION LN STE 195",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623363",
            "telephone_number": "757-622-7000",
            "fax_number": "757-623-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 CORPORATION LN STE 195",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623363",
            "telephone_number": "757-622-7000",
            "fax_number": "757-623-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "VENKAT",
        "middle_name": "MANORANJAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101051339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6303251",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.