Individual provider Active NPI

Smitha Reddy, M.D.

  • Rheumatology Physician
  • Poway, CA
National Provider Identifier
1750534715
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A85072 Issued in CA
Practice address
15725 Pomerado Rd Ste 117
Poway, CA 92064-2058
Phone
(858) 312-1717
Fax
(858) 435-0207
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A85072 CA Primary

Addresses

Primary practice location

15725 Pomerado Rd Ste 117
Poway, CA 92064-2058

Mailing address

15644 Pomerado Rd
Suite 102
Poway, CA 92064-2400
Phone (858) 442-1617

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ArthritisCareAndResearchCenterINC.SmithaReddy@129831.advancedmd-direct.com Direct
Direct Messaging Address ArthritisCareAndResearchCenterINC.SmithaReddy@129831.advancedmd-direct.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524001350 CA Practitioner - RheumatologyPractitioner - Internal Medicine 2668414483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15725 Pomerado Rd
Suite 117
Poway, CA 92064-2058
Phone (858) 312-1717

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A85072CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Palomar Health Past Accepting new patients
Cabrillo Center for Rheumatic Disease Apc Rheumatology PastSince Nov 22, 2020 Accepting new patients
Scripps Health Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sreddy81502@scrippshlth.medalliesdirect.net
  • Direct secure messaging: arthritiscareandresearchcenterinc.smithareddy@129831.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/16606/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.

Hospital & facility affiliations 2

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": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1750534715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD",
            "address_2": "SUITE 102",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642400",
            "telephone_number": "858-442-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 117",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642058",
            "telephone_number": "858-312-1717",
            "fax_number": "858-435-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SMITHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A85072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ArthritisCareAndResearchCenterINC.SmithaReddy@129831.advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15644 Pomerado Rd",
            "address_2": "Suite 102",
            "city": "Poway",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920642400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ArthritisCareAndResearchCenterINC.SmithaReddy@129831.advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15725 Pomerado Rd Ste 117",
            "city": "Poway",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920642058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.