NPIMap

Individual provider Active NPI

Shantan G Reddy, M.D.

  • Medical Oncology Physician
  • Johnstown, PA
National Provider Identifier
1689872848
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD484188 Issued in PA
Practice address
337 Somerset St
Johnstown, PA 15901-2541
Phone
(814) 533-0132
Fax
(814) 536-5916
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X MD200535 LA
Medical Oncology Physician 207RX0202X MD200535 LA
Medical Oncology Physician 207RX0202X P9943 TX
Medical Oncology Physician 207RX0202X MD484188 PA Primary

Addresses

Primary practice location

337 Somerset St
Johnstown, PA 15901-2541

Mailing address

337 Somerset St
Johnstown, PA 15901-2541
Phone (814) 533-0132

Other identifiers 2

IdentifierTypeStateIssuer
280554102MedicaidTX
1070700MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150120001783 TX Practitioner - Hematology/Oncology 6002982360 Reassigns benefits to 1 organization
I20180727000717 NM Practitioner - Internal Medicine 6002982360 Reassigns benefits to 1 organization
I20240711000650 PA Practitioner - Medical OncologyPractitioner - Hospice/Palliative Care 6002982360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hospice/Palliative Care
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians
Oncology Hematology Association IncGroup PAC ID 9830003300, 201 clinicians

Practice addresses (Care Compare)

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

337 Somerset St
Johnstown, PA 15901-2541
Phone (814) 534-4724

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD200535LAMDHospice and Palliative Medicine (Internal Medicine) Physician
P9943TXMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Association Inc CurrentSince Aug 15, 2024 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jan 19, 2015 Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 4, 2018 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jan 19, 2015 Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 4, 2018 Accepting new patients
Oncology Hematology Association CurrentSince Aug 15, 2024 Accepting new patients
Presbyterian Healthcare Services Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

337 Somerset St
Johnstown, PA 15901
Phone (814) 533-0106

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

1415 Santa Fe St
Corpus Christi, TX 78404
Phone (361) 861-9760

919 Hidden Rdg
Irving, TX 75038

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

Interoperability endpoints

  • Direct secure messaging: sreddy432336@upmc.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 10

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 11

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1689872848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 SOMERSET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012541",
            "telephone_number": "814-533-0132",
            "fax_number": "814-536-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 SOMERSET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012541",
            "telephone_number": "814-533-0132",
            "fax_number": "814-536-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SHANTAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "LA",
            "license": "MD200535",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "LA",
            "license": "MD200535",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "P9943",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "MD484188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280554102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1070700",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.