Individual provider Active NPI

Sushma Reddy, MD

  • Obstetrics & Gynecology Physician
  • Hendersonville, NC
National Provider Identifier
1538696158
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
49449 Issued in IA
Practice address
617 6TH Ave W
Hendersonville, NC 28739-3503
Phone
(828) 694-7642
Fax
(828) 694-7641
NPI assigned
May 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 33995 NE
Obstetrics & Gynecology Physician 207V00000X 49449 IA Primary

Addresses

Primary practice location

617 6TH Ave W
Hendersonville, NC 28739-3503

Mailing address

617 6TH Ave W
Hendersonville, NC 28739-3503
Phone (828) 694-7642

Other practice location 1

1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone (712) 328-9100

Other practice location 2

1401 Jefferson Hwy
New Orleans, LA 70121-2426
Phone (504) 842-3260

Other practice location 3

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NC2 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
I20220310001653 IA Practitioner - Obstetrics/Gynecology 4082009063 Reassigns benefits to 1 organization
I20241014003820 NC Practitioner - Obstetrics/Gynecology 4082009063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians
Henderson County Hospital CorporationGroup PAC ID 8123938115, 231 clinicians

Practice addresses (Care Compare)

1288 Valley View LN
Council Bluffs, IA 51503-5456
Phone (712) 328-8800

617 6TH Ave W
Hendersonville, NC 28739-3503
Phone (828) 698-2393

Hospital & facility affiliations

  • Pardee Hospital Henderson County Hospital, Hendersonville, NC, CCN 340017
  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49449IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Mar 15, 2022 Accepting new patients
Henderson County Hospital Corporation CurrentSince Oct 15, 2024 Accepting new patients
Henderson County Hospital Corporation CurrentSince Oct 15, 2024 Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

617 6th Ave W
Hendersonvlle, NC 28739
Phone (704) 696-2570

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

7710 Mercy Rd
Ste 1000
Omaha, NE 68124
Phone (402) 717-2500

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

Interoperability endpoints

  • Direct secure messaging: sreddy1218409@direct.unc.nchie.net

Organizations & group practices 3

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 3

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": "1494633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1538696158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 6TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393503",
            "telephone_number": "828-694-7642",
            "fax_number": "828-694-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 6TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393503",
            "telephone_number": "828-694-7642",
            "fax_number": "828-694-7641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1288 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515035245",
            "country_code": "US",
            "telephone_number": "712-328-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701212426",
            "country_code": "US",
            "telephone_number": "504-842-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Mercy Rd",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681242319",
            "country_code": "US",
            "telephone_number": "402-398-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SUSHMA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-13",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "33995",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "49449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.