NPIMap

Individual provider Active NPI

Siddharth Burugupalli Reddy, MD

  • Interventional Cardiology Physician
  • Modesto, CA
National Provider Identifier
1760800338
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
173068 Issued in CA
Practice address
1540 Florida Ave Ste 100
Modesto, CA 95350-4430
Phone
(209) 577-5557
NPI assigned
Apr 1, 2014
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 173068 CA Primary

Addresses

Primary practice location

1540 Florida Ave Ste 100
Modesto, CA 95350-4430

Mailing address

1540 Florida Ave Ste 100
Modesto, CA 95350-4430

Other practice location 1

1051 E Tuolumne Rd Ste 101
Turlock, CA 95382-1546
Phone (209) 632-2200

Other practice location 2

1421 Oakdale Rd Ste 1A
Modesto, CA 95355-3356
Phone (209) 870-5082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210816003729 MS Practitioner - Interventional Cardiology 9335449875 Reassigns benefits to 2 organizations
I20250911002055 CA Practitioner - Interventional Cardiology 9335449875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Heart Associates Medical Group IncGroup PAC ID 1254354111, 10 clinicians

Practice addresses (Care Compare)

1540 Florida Ave
Suite 100
Modesto, CA 95350-4430
Phone (209) 577-5557

2520 5TH St N
Columbus, MS 39705-2008
Phone (662) 244-2042

255 Baptist Blvd
Columbus, MS 39705-2006

520 Willowbrook Rd
Columbus, MS 39705-2015
Phone (662) 240-1412

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.17 of 100Reported as group
Quality
88.62
Promoting interoperability
100
Improvement activities
40
Cost
77.86

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Sep 1, 2021 Accepting new patients
Baptist Memorial Hospital - Golden Triangle Inc. CurrentSince Sep 1, 2021 Accepting new patients
Baptist Memorial Hospital - Golden Triangle Inc. CurrentSince Sep 1, 2021 Accepting new patients
Valley Heart Associates Medical Group Inc Cardiovascular Disease CurrentSince Oct 6, 2025 Accepting new patients
The Metrohealth System Current Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Sep 1, 2021 Accepting new patients
Doctors Medical Center of Modesto PastSince Oct 6, 2025 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Cardiovascular Disease PastSince Aug 8, 2021 Accepting new patients

Locations

1540 Florida Ave
Ste 100
Modesto, CA 95350
Phone (209) 544-3236

1051 E Tuolumne Rd
Ste 101
Turlock, CA 95382
Phone (209) 632-2200

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

520 Willowbrook Rd
Columbus, MS 39705
Phone (662) 240-1412

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Interoperability endpoints

  • Direct secure messaging: sreddy476142@direct.bmhcc.org
  • Direct secure messaging: sreddy93221@direct.metrohealth.org

Organizations & group practices 9

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1760800338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 FLORIDA AVE STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 FLORIDA AVE STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504430",
            "telephone_number": "209-577-5557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 E Tuolumne Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953821546",
            "country_code": "US",
            "telephone_number": "209-632-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 Oakdale Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953553356",
            "country_code": "US",
            "telephone_number": "209-870-5082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SIDDHARTH",
        "middle_name": "BURUGUPALLI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "173068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.