Active NPI
Susmitha Marri Reddy, M B B S FRCR
- Diagnostic Radiology Physician
- South Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 26976
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | susmitha.reddy@pvhhealth.direct.wvhin.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Pikeville Medical Center
- Clark Regional Medical Center
- Berkeley Medical Center
- Tristar Centennial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.77 of 100
- Quality
- 57.54
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 241374 | MA | MD | Neuroradiology Physician |
| 26976 | WV | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| THS Physician Partners Inc | Current | Accepting new patients | |
| Virtual Radiologic Professionals, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Community Health Association | Current | Accepting new patients | |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Middle Tennessee Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Pikeville Medical Center, Inc. | Current | Accepting new patients | |
| Community Health Association | Current | Accepting new patients | |
| Kanawha Valley Radiologists Incorporated | Diagnostic Radiology | Current | Accepting new patients |
| David J. Patton, MD., Inc. | Current | 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.
-
- Critical Access Hospital
- Ripley, WV
- NPI 1649277476
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1871866806
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Obstetrics & Gynecology Physician
- Charleston, WV
- NPI 1063659134
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
WV
-
- Diagnostic Radiology Physician
- Murfreesboro, TN
- NPI 1316043524
WV
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
-
- General Acute Care Hospital
- Winchester, KY
- NPI 1811213994
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.