Active NPI
Sridhar M Reddy, M.D.
- Interventional Cardiology Physician
- Sherman Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A167870
- Practice address
- 4955 Van Nuys Blvd Ste 308
Sherman Oaks, CA 91403-1811 - Phone
- (818) 528-1260
- Fax
- (818) 528-1261
- NPI assigned
- Apr 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R74126 | AZ | |
| Interventional Cardiology Physician | 207RI0011X | A167870 | CA | Primary |
Addresses
Primary practice location
4955 Van Nuys Blvd Ste 308
Sherman Oaks, CA 91403-1811
Mailing address
13217 Haney PL
Los Angeles, CA 90049-3624
Phone (858) 243-0503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4955 Van Nuys Blvd
Suite 308
Sherman Oaks, CA 91403-1811
Phone (818) 528-1260
Hospital & facility affiliations
- Centinela Hospital Medical Center
- Saint Francis Medical Center
- Desert Valley Hospital
- Cedars-Sinai Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R74126 | AZ | MD | Internal Medicine Physician |
| A167870 | CA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Valley Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
| Epic Cardiology | Single Specialty | Current | Accepting new patients |
| Southern California Hospitalist Network Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Desert Valley Medical Group, Inc | Single Specialty | Current | Accepting new patients |
| Desert Valley Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Prime Healthcare Centinela, LLC | Past | Accepting new patients | |
| Desert Valley Hospital, LLC | Past | Accepting new patients |
Locations
5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600
3630 E Imperial Hwy
Ste 555B
Lynwood, CA 90262
3630 E Imperial Hwy
Ste 55B
Lynwood, CA 90262
Phone (310) 722-1108
625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330
15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600
4955 Van Nuys Blvd
Ste 308
Van Nuys, CA 91403
Phone (818) 387-6114
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
Interoperability endpoints
- https://api.platform.athenahealth.com/2754/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Physical Therapist
- Victorville, CA
- NPI 1639117864
Single Specialty
-
- Internal Medicine Physician
- Orange, CA
- NPI 1790880458
Single Specialty
-
- Internal Medicine Physician
- Victorville, CA
- NPI 1952020315
Single Specialty
-
- Family Medicine Physician
- Victorville, CA
- NPI 1841804101
Internal Medicine
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1851396576
-
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1851396576
-
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
-
- General Acute Care Hospital
- Lynwood, CA
- NPI 1114547114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1669817987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13217 HANEY PL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900493624",
"telephone_number": "858-243-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 VAN NUYS BLVD STE 308",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031811",
"telephone_number": "818-528-1260",
"fax_number": "818-528-1261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "SRIDHAR",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-30",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "R74126",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A167870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.