Pesara P Reddy, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD034289L Issued in PA

Practice address

2500 W 12TH St
The Regional Cancer Ctr
Erie, PA 16505

Phone

(814) 835-9000

Fax

(814) 838-0443

NPI assigned

Feb 13, 2006

Last updated

Mar 31, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Butler Cancer Associates Inc

  • Radiation Oncology Physician
  • Butler, PA
  • NPI 1649519778
  Medicare reassignment NPD
• Fayette Oncology Associates

  • Radiation Oncology Physician
  • Uniontown, PA
  • NPI 1003817958
  Medicare reassignment NPD
• Mountain View Cancer Associates

  • Hematology & Oncology Physician
  • Greensburg, PA
  • NPI 1013984376

  Radiation Oncology

  Medicare reassignment NPD
• Upmc/HVHS Cancer Center

  • Radiation Oncology Physician
  • Moon Township, PA
  • NPI 1609843861
  Medicare reassignment NPD
• Upmc/St Clair Hospital Cancer Center

  • Radiation Oncology Physician
  • Pittsburgh, PA
  • NPI 1306138169
  Medicare reassignment NPD
• University of Pittsburgh Cancer Institute Cancer Services

  dba UPMC Cancer Centers

  • Radiation Oncology Physician
  • Pittsburgh, PA
  • NPI 1427025840
  Medicare reassignment
• Upmc/Conemaugh Cancer Center

  • Radiation Oncology Physician
  • Johnstown, PA
  • NPI 1326015538
  Medicare reassignment
• Fayette Oncology Associates

  • Mobile Radiology Clinic/Center
  • Uniontown, PA
  • NPI 1700840154
  NPD
• Mountain View Cancer Associates, LLP

  • Durable Medical Equipment & Medical Supplies
  • Greensburg, PA
  • NPI 1558325688
  NPD
• Upmc/HVHS Cancer Center

  • Mobile Radiology Clinic/Center
  • Ellwood City, PA
  • NPI 1184210437
  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD (past)
• University of Pittsburgh Physicians

  • Radiation Oncology Physician
  • Pittsburgh, PA
  • NPI 1790743110
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1548233190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 12TH ST",
            "address_2": "THE REGIONAL CANCER CTR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16505",
            "telephone_number": "814-835-9000",
            "fax_number": "814-838-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 12TH ST",
            "address_2": "THE REGIONAL CANCER CTR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16505",
            "telephone_number": "814-835-9000",
            "fax_number": "814-838-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PESARA",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD034289L",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "PA",
            "license": "MD034289L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006903140001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2193611",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebirth Africa
• Patrick John Recio, DO
• Tina Renee Recker, CRNP
• Rectal and Colon Surgery Inc
• Manasa Reddy, DO
• Jeanette Ruth Redenius, LSW
• Jacquelyn Redenz, LPC, NCC
• Rachael Redinger
• Heather Lynn Redlecki, CRNP
• Richard Edward Redlinger Jr., MD

• Radiation Oncology Physician in Erie, PA
• Providers in Erie, PA by specialty
• Radiation Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.