Individual provider Active NPI

Mridula Puchalapalli Reddy, MD

  • Hematology & Oncology Physician
  • Middletown, OH
National Provider Identifier
1568649408
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35.094079 Issued in OH
Practice address
501 Atrium Dr Ste 100
Middletown, OH 45005-5165
Phone
(937) 293-1622
Fax
(937) 245-6308
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 35.094079 OH Primary
Hematology & Oncology Physician 207RH0003X 35094079 OH

Addresses

Primary practice location

501 Atrium Dr Ste 100
Middletown, OH 45005-5165

Mailing address

6680 Poe Ave Ste 200
Dayton, OH 45414-2855
Phone (937) 280-8400

Other practice location 1

2300 Miami Valley Dr Ste 470
Centerville, OH 45459-4779
Phone (937) 276-8320

Other practice location 2

2300 Miami Valley Dr Ste 150
Centerville, OH 45459-1294
Phone (937) 293-1622

Other practice location 3

3120 Governors Place Blvd
Kettering, OH 45409-1328
Phone (937) 293-1622

Other practice location 4

200 Medical Center Dr
Middletown, OH 45005-5200
Phone (937) 276-8320

Other practice location 5

915 Michigan St Ste 202
Sidney, OH 45365-2401
Phone (937) 703-6270

Other practice location 6

501 Atrium Dr Ste 201
Middletown, OH 45005-5165
Phone (513) 974-8780

Other practice location 7

3006 N County Road 25A Ste 101
Troy, OH 45373-1373
Phone (937) 703-6270

Other practice location 8

1111 Sweitzer St Ste E
Greenville, OH 45331-1189
Phone (937) 276-8320

Other practice location 9

3130 N County Road 25A Ste 107
Troy, OH 45373-1337
Phone (937) 703-6270

Other practice location 10

9000 N Main St Ste G-35
Englewood, OH 45415-1182
Phone (937) 276-8320

Other practice location 11

400 Sugar Camp Cir Ste 200
Oakwood, OH 45409-1981
Phone (937) 276-8320

Other identifiers 2

IdentifierTypeStateIssuer
000000625680OtherOHANTHEM
3004877MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mreddy2995@direct.premierhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20091019000624 OH Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6002953320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

200 Medical Ctr Dr
250B
Middletown, OH 45005-5200
Phone (937) 435-4263

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35094079OHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Jun 29, 2023 Accepting new patients
Premier Health Specialists Inc Current Accepting new patients
Premier Health Specialists Inc CurrentSince Jun 29, 2023 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

9000 N Main St
Ste G-35
Englewood, OH 45415
Phone (937) 276-8320

1111 Sweitzer St
Ste E
Greenville, OH 45331
Phone (937) 276-8320

200 Medical Center Dr
#250B
Middletown, OH 45005
Phone (937) 435-4263

501 Atrium Dr
Ste 201
Middletown, OH 45005
Phone (513) 974-8780

3170 Kettering Blvd
Bldg 2
Moraine, OH 45439

400 Sugar Camp Cir
Ste 200
Oakwood, OH 45409
Phone (937) 262-7819

915 Michigan St
Ste 202
Sidney, OH 45365
Phone (937) 440-7665

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3130 N County Road 25A
Ste 107
Troy, OH 45373
Phone (937) 297-8253

Organizations & group practices 4

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1568649408",
    "addresses": [
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            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 POE AVE STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142855",
            "telephone_number": "937-280-8400"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ATRIUM DR STE 100",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055165",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Miami Valley Dr Ste 470",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594779",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Miami Valley Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454591294",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3120 Governors Place Blvd",
            "address_purpose": "LOCATION",
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            "postal_code": "454091328",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Medical Center Dr",
            "address_purpose": "LOCATION",
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            "state": "OH",
            "postal_code": "450055200",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Michigan St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453652401",
            "country_code": "US",
            "telephone_number": "937-703-6270",
            "fax_number": "937-641-2622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Atrium Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055165",
            "country_code": "US",
            "telephone_number": "513-974-8780",
            "fax_number": "513-369-7474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3006 N County Road 25A Ste 101",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731373",
            "country_code": "US",
            "telephone_number": "937-703-6270",
            "fax_number": "937-641-2622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Sweitzer St Ste E",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311189",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 N County Road 25A Ste 107",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-703-6270",
            "fax_number": "937-641-2622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 N Main St Ste G-35",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151182",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Sugar Camp Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oakwood",
            "state": "OH",
            "postal_code": "454091981",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MRIDULA",
        "middle_name": "PUCHALAPALLI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35.094079",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35094079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000625680",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004877",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mreddy2995@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "501 Atrium Dr Ste 100",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450055165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.