Individual provider Active NPI

S. Sethu Kumar Reddy, MD, MBA

  • Endocrinology, Diabetes & Metabolism Physician
  • Mt Pleasant, MI
National Provider Identifier
1457409740
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35-068469 Issued in OH
Practice address
1280 E Campus Dr Ste 2104
Mt Pleasant, MI 48859-3256
Phone
(989) 774-7585
Fax
(989) 774-7590
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35-068469 OH Primary

Addresses

Primary practice location

1280 E Campus Dr Ste 2104
Mt Pleasant, MI 48859-3256

Mailing address

1280 E Campus Dr Ste 2104
Mt Pleasant, MI 48859-2033
Phone (989) 774-7585

Other identifiers 1

IdentifierTypeStateIssuer
0144212MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 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
I20070123000006 OH Practitioner - EndocrinologyPractitioner - Internal Medicine 8527069343 Reassigns benefits to 1 organization
I20170220001663 MI Practitioner - EndocrinologyPractitioner - Internal Medicine 8527069343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-068469OHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospitals, Inc Endocrinology, Diabetes & Metabolism CurrentSince Feb 7, 2018 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Feb 7, 2018 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients

Locations

1575 Concentric Blvd
Saginaw, MI 48604
Phone (989) 583-6800

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

Interoperability endpoints

  • Direct secure messaging: sreddy49291@direct.ccf.org
  • Direct secure messaging: sreddy58249@direct.covenanthealthcare.com

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 1

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1457409740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 E CAMPUS DR STE 2104",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488592033",
            "telephone_number": "989-774-7585",
            "fax_number": "989-774-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 E CAMPUS DR STE 2104",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488593256",
            "telephone_number": "989-774-7585",
            "fax_number": "989-774-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "S. SETHU",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35-068469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144212",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.