Individual provider Active NPI

Deepa Gopal Reddy, M.D.

  • Ophthalmology Physician
  • Lancaster, OH
National Provider Identifier
1699940452
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.093935 Issued in OH
Practice address
618 Pleasantville Rd
Suite 204
Lancaster, OH 43130-3312
Phone
(740) 687-6902
Fax
(740) 689-6876
NPI assigned
Apr 23, 2008
Last updated
Dec 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.093935 OH Primary

Addresses

Primary practice location

618 Pleasantville Rd
Suite 204
Lancaster, OH 43130-3312

Mailing address

1153 E Main St
PO Box 2563
Lancaster, OH 43130-4056
Phone (740) 687-8990

Other identifiers 1

IdentifierTypeStateIssuer
2996996MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100126000710 OH Practitioner - Ophthalmology 4789756289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

618 Pleasantville Rd
Suite 204
Lancaster, OH 43130-3346
Phone (740) 697-6902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.89 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
66.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery189

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Ophthalmology, Inc. Ophthalmology CurrentSince Nov 1, 2022 Accepting new patients
Central Ohio Plastic Surgery Inc Past Accepting new patients

Locations

680 Buckles Ct N
Ste 2B
Gahanna, OH 43230
Phone (740) 653-5064

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

618 Pleasantville Rd
Ste 204
Lancaster, OH 43130
Phone (740) 687-6902

Interoperability endpoints

  • Direct secure messaging: dreddy@ohio.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1699940452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 E MAIN ST",
            "address_2": "PO BOX 2563",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056",
            "telephone_number": "740-687-8990",
            "fax_number": "740-687-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PLEASANTVILLE RD",
            "address_2": "SUITE 204",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303312",
            "telephone_number": "740-687-6902",
            "fax_number": "740-689-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "DEEPA",
        "middle_name": "GOPAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.093935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2996996",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.