Individual provider Active NPI

Sanjay K Reddy, MD

  • Gastroenterology Physician
  • Altamonte Springs, FL
National Provider Identifier
1619954393
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME90805 Issued in FL
Practice address
623 Maitland Ave
Ste 2200
Altamonte Springs, FL 32701
Phone
(407) 830-8661
Fax
(407) 830-0280
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME90805 FL Primary

Addresses

Primary practice location

623 Maitland Ave
Ste 2200
Altamonte Springs, FL 32701

Mailing address

623 Maitland Ave
Ste 2200
Altamonte Springs, FL 32701
Phone (407) 830-8661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040803000813 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 6002887114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Consultants PAGroup PAC ID 3779554878, 14 clinicians

Practice addresses (Care Compare)

623 Maitland Ave
Suite 201
Altamonte SPG, FL 32701-6823
Phone (407) 830-8661

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy115
Upper gastrointestinal (GI) endoscopy for acid reflux81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90805FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Consultants PA Gastroenterology CurrentSince Sep 7, 2004 Accepting new patients

Locations

623 Maitland Ave
Ste 1100
Altamonte Springs, FL 32701
Phone (407) 478-0871

623 Maitland Ave
Ste 2200
Altamonte Springs, FL 32701
Phone (407) 830-8661

623 Maitland Ave
Ste 201
Altamonte Springs, FL 32701
Phone (407) 830-8661

3300 W Lake Mary Blvd
Ste 330
Lake Mary, FL 32746
Phone (407) 580-7393

1410 W Broadway St
Ste 102
Oviedo, FL 32765
Phone (407) 366-2612

8000 Red Bug Lake Rd
Ste 226
Oviedo, FL 32765
Phone (407) 332-0777

Interoperability endpoints

  • Direct secure messaging: sanjay.reddy@ddc.eclinicaldirectplus.com

Organizations & group practices 1

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619954393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MAITLAND AVE",
            "address_2": "STE 2200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-830-8661",
            "fax_number": "407-830-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MAITLAND AVE",
            "address_2": "STE 2200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-830-8661",
            "fax_number": "407-830-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SANJAY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME90805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.