Madan Mohan Gangapuram Reddy, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

48934 Issued in KY

Practice address

1210 Ky Highway 36 E Ste 1D
Cynthiana, KY 41031-7490

Phone

(859) 234-1707

Fax

(859) 234-1768

NPI assigned

Aug 10, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, WV2 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

Specialty

Orthopedic Surgery

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montgomery General Hospital, IncGroup PAC ID 6204735269, shared by 5 NPIs, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montgomery General Hospital Hospital, Montgomery, WV, CCN 511318

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Montgomery General Hospital, Inc

  • Critical Access Hospital
  • Montgomery, WV
  • NPI 1619913647
  Medicare reassignment NPD
• Tria Orthopaedic Center LLC

  • Orthopaedic Surgery Physician
  • Bloomington, MN
  • NPI 1518273085
  Medicare reassignment NPD
• Montgomery General Hospital, Inc

  • Rural Health Clinic/Center
  • Montgomery, WV
  • NPI 1275163644
  NPD
• Tria Orthopaedic Center LLC

  • Orthopaedic Surgery Physician
  • Bloomington, MN
  • NPI 1346624384
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Montgomery General Hospital, Inc

  • Critical Access Hospital
  • Montgomery, WV
  • NPI 1619913647
  Care Compare affiliation

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649559592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E STE G3",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317498",
            "telephone_number": "859-234-3605",
            "fax_number": "859-234-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E STE 1D",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317490",
            "telephone_number": "859-234-1707",
            "fax_number": "859-234-1768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "183 E 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Williamson",
            "state": "WV",
            "postal_code": "256613601",
            "country_code": "US",
            "telephone_number": "304-899-3404",
            "fax_number": "304-899-3406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "183 E 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Williamson",
            "state": "WV",
            "postal_code": "256613601",
            "country_code": "US",
            "telephone_number": "304-899-3404",
            "fax_number": "304-899-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MADAN MOHAN",
        "middle_name": "GANGAPURAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "48934",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "24976",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MN",
            "license": "105688",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100227130",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Plowman, DPT
• Donna Moore Pope, ARNP
• Positive Directions II LLC
• Sara Powell, MD
• Melinda D. Rath, NP-C
• Todd B Reid, M.D.
• Richard Arnold MD PSC
• Richard L Risher, M.D.
• Gerald Zachary Robinette-Compton, DC
• Randall Keith Robinson, RPH

• Orthopaedic Surgery Physician in Cynthiana, KY
• Providers in Cynthiana, KY by specialty
• Orthopaedic Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.