Active NPI
Srikanth Kottapally Reddy, MD
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 2073307
- Practice address
- 4812 S 109TH East Ave
Suite 300
Tulsa, OK 74146-5826 - Phone
- (918) 392-1400
- Fax
- (918) 236-4587
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 2073307 | OK | Primary |
Addresses
Primary practice location
4812 S 109TH East Ave
Suite 300
Tulsa, OK 74146-5826
Mailing address
4802 S 109TH East Ave
Tulsa, OK 74146-5822
Phone (918) 392-1400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250012255 | Other | OK | RAILROAD MEDICARE |
| P00216400 | Other | OK | RAILROAD MEDICARE |
| 100173420C | Medicaid | OK |
Other names 1
- Sri K Reddy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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
- Physical Medicine and Rehabilitation
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4812 S 109TH E Ave
Tulsa, OK 74146-5826
Phone (918) 392-1513
Hospital & facility affiliations
- Saint Francis Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 61.03
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2073307 | OK | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa Bone & Joint Associates PC | Current | Accepting new patients | |
| Osu Health System Anesthesia | Past | Accepting new patients | |
| State of Oklahoma | Past | Accepting new patients | |
| Dr Ashok Kache MD Inc | Past | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
4812 S 109th East Ave
Ste 300
Tulsa, OK 74146
Phone (918) 236-4580
4812 S 109th East Ave
Fl 3
Tulsa, OK 74146
4802 S 109th East Ave
Tulsa, OK 74146
Phone (918) 392-1513
4812 S 109th East Ave
Tulsa, OK 74146
Phone (918) 392-1482
Interoperability endpoints
- sreddy274935@direct.saintfrancis.com
- srikanth.reddy@direct.stjohnhealthsystem.com
- sri.reddy@tbja.gwaydirect.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1601
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Tulsa, OK
- NPI 1154373132
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
- NPI 1295914414
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norman, OK
- NPI 1588755532
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1174581185
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1912934100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 S 109TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741465822",
"telephone_number": "918-392-1400",
"fax_number": "918-392-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4812 S 109TH EAST AVE",
"address_2": "SUITE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741465826",
"telephone_number": "918-392-1400",
"fax_number": "918-236-4587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "SRIKANTH",
"middle_name": "KOTTAPALLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "OK",
"license": "2073307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "250012255",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00216400",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100173420C",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SRI",
"last_name": "REDDY",
"middle_name": "K",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.