Individual provider Active NPI

Susmitha Marri Reddy, M B B S FRCR

  • Diagnostic Radiology Physician
  • South Charleston, WV
National Provider Identifier
1932330305
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26976 Issued in WV
Practice address
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone
(304) 766-3600
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 241374 MA
Diagnostic Radiology Physician 2085R0202X 26976 WV Primary

Addresses

Primary practice location

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311

Mailing address

PO Box 840
Lima, OH 45802-0840
Phone (877) 574-7116

Other practice location 1

333 Laidley St
Charleston, WV 25301-1614
Phone (304) 347-6500

Other practice location 2

2520 Valley Dr
Point Pleasant, WV 25550-2031
Phone (304) 675-4340

Other practice location 3

4605 MacCorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 766-3600

Other practice location 4

4800 MacCorkle Ave SW
South Charleston, WV 25309-1332
Phone (304) 767-7730

Other practice location 5

1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (855) 988-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address susmitha.reddy@pvhhealth.direct.wvhin.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160922001003 WV Practitioner - Diagnostic Radiology 0840512687 Reassigns benefits to 16 organizations
I20251027000073 TN Practitioner - Diagnostic Radiology 0840512687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians
Community Health AssociationGroup PAC ID 1759291313, 69 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

102 Patriot Way
Charleston, WV 25314-1216
Phone (219) 767-6320

122 Pinnell St
Ripley, WV 25271-9101
Phone (304) 372-2731

1624 Loudon Heights Rd
Charleston, WV 25314-1504
Phone (615) 312-0600

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

515 Edgewood Rd
Hurricane, WV 25526-9037
Phone (219) 757-6320

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Pikeville Medical Center Hospital, Pikeville, KY, CCN 180044
  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.77 of 100Reported as group
Quality
57.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241374MAMDNeuroradiology Physician
26976WVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
THS Physician Partners Inc CurrentSince Aug 19, 2024 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Mar 29, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Aug 9, 2025 Accepting new patients
Pikeville Medical Center Inc CurrentSince Dec 18, 2024 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Community Health Association CurrentSince Apr 25, 2025 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Jan 27, 2026 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince May 28, 2025 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Jul 8, 2025 Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Dec 18, 2024 Accepting new patients
Community Health Association CurrentSince Apr 25, 2025 Accepting new patients
Kanawha Valley Radiologists Incorporated Diagnostic Radiology CurrentSince Sep 12, 2016 Accepting new patients
David J. Patton, MD., Inc. CurrentSince Sep 9, 2024 Accepting new patients
Community Health Association Past Accepting new patients

Locations

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

295 Main St
Calhoun, KY 42327
Phone (270) 273-9310

140 Veterans Memorial Ave
Clay, KY 42404
Phone (270) 326-4780

107 E Main St
Earlington, KY 42410
Phone (270) 383-2521

44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

210 N Main St
Morgantown, KY 42261
Phone (270) 504-1300

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2200 E Parrish Ave
Bldg D
Owensboro, KY 42303
Phone (270) 688-1770

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011

L3539
Columbus, OH 43260
Phone (304) 414-4800

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479

28 White Bridge Pike
Ste 104
Nashville, TN 37205

108 Washington St W
Charleston, WV 25302
Phone (304) 345-4525

333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

4800 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 306-3049

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1932330305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458020840",
            "telephone_number": "877-574-7116",
            "fax_number": "419-223-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091311",
            "telephone_number": "304-766-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Laidley St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011614",
            "country_code": "US",
            "telephone_number": "304-347-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2520 Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Point Pleasant",
            "state": "WV",
            "postal_code": "255502031",
            "country_code": "US",
            "telephone_number": "304-675-4340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4605 MacCorkle Ave SW",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091311",
            "country_code": "US",
            "telephone_number": "304-766-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 MacCorkle Ave SW",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091332",
            "country_code": "US",
            "telephone_number": "304-767-7730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265061200",
            "country_code": "US",
            "telephone_number": "855-988-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SUSMITHA",
        "middle_name": "MARRI",
        "name_prefix": "Dr.",
        "credential": "M B B S FRCR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MA",
            "license": "241374",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "26976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susmitha.reddy@pvhhealth.direct.wvhin.org",
            "affiliation": "N",
            "address_1": "2520 Valley Dr",
            "city": "Point Pleasant",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255502031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.