Active NPI
Karan G Reddy, M.D.
- Interventional Cardiology Physician
- Winter Park, FL
National Provider Identifier
1659375012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME60109
- Practice address
- 483 N Semoran Blvd
Ste 102
Winter Park, FL 32792-3800 - Phone
- (407) 645-1847
- Fax
- (321) 274-0246
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME60109 | FL | |
| Interventional Cardiology Physician | 207RI0011X | ME60109 | FL | Primary |
| Nuclear Cardiology Physician | 207UN0901X | ME60109 | FL |
Addresses
Primary practice location
483 N Semoran Blvd
Ste 102
Winter Park, FL 32792-3800
Mailing address
483 N Semoran Blvd
Ste 102
Winter Park, FL 32792-3800
Phone (407) 645-1847
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371044100 | Medicaid | FL | |
| 110059670 | Other | FL | RAILROAD MEDICARE |
| 975093 | Other | FL | UNITED H'CARE PROV ID # |
| 03088 | Other | FL | HEALTHEASE MCD PROV ID # |
| 03088 | Other | FL | STAYWELL MCD PROV ID # |
| 597544 | Other | FL | HUMANA PROV ID # |
| 03088 | Other | FL | WELLCARE PROV ID # |
| 043204 | Other | FL | GREAT WEST PROV ID # |
| 15074 | Other | FL | BCBS OF FL PROV ID # |
| 4302087 | Other | FL | AETNA PROV ID # |
| 11589 | Other | FL | FHHS PROV ID # |
| 207947 | Other | FL | AMERIGROUP MCD PROV ID # |
| 6328420015 | Other | FL | CIGNA PROV ID # |
| 672144 | Other | FL | FIRST HEALTH PROV ID # |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
483 N Semoran Blvd
Winter Park, FL 32792-3800
Phone (407) 645-1847
Hospital & facility affiliations
- Adventhealth Orlando
- Adventhealth Heart of Florida
- Orlando Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 11 |
| Varicose vein removal | 13 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME60109 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors of Clinical Specialties LLC | Cardiovascular Disease | Past | Accepting new patients |
| Haines City Hma LLC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- karan.reddy@flcard.directbygreenway.com
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.
-
- Cardiovascular Disease Physician
- Winter Park, FL
- NPI 1871543157
-
- Multi-Specialty Clinic/Center
- Winter Park, FL
- NPI 1144674607
Cardiovascular Disease
-
- General Acute Care Hospital
- Davenport, FL
- NPI 1578518403
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1659375012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 N SEMORAN BLVD",
"address_2": "STE 102",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923800",
"telephone_number": "407-645-1847",
"fax_number": "321-274-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 N SEMORAN BLVD",
"address_2": "STE 102",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923800",
"telephone_number": "407-645-1847",
"fax_number": "321-274-0246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "KARAN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME60109",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME60109",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "FL",
"license": "ME60109",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371044100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110059670",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED H'CARE PROV ID #",
"identifier": "975093",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE MCD PROV ID #",
"identifier": "03088",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL MCD PROV ID #",
"identifier": "03088",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PROV ID #",
"identifier": "597544",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE PROV ID #",
"identifier": "03088",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST PROV ID #",
"identifier": "043204",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL PROV ID #",
"identifier": "15074",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROV ID #",
"identifier": "4302087",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FHHS PROV ID #",
"identifier": "11589",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP MCD PROV ID #",
"identifier": "207947",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROV ID #",
"identifier": "6328420015",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PROV ID #",
"identifier": "672144",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.