Individual provider Active NPI

Shanthi Reddy, MD

  • Anesthesiology Physician
  • Charlottesville, VA
National Provider Identifier
1932528643
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101264464 Issued in VA
Practice address
1215 Lee St
Charlottesville, VA 22908
Phone
(434) 924-2283
Fax
(434) 982-0019
NPI assigned
Apr 9, 2014
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 0101264464 VA Primary

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007
Phone (434) 295-1000

Other practice location 1

500 Monroe Ln
Charlottesville, VA 22903-3318
Phone (434) 924-9999

Other practice location 2

1204 W Main St
Charlottesville, VA 22903-2824
Phone (434) 982-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210118000405 AZ Practitioner - Anesthesiology 3779889134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Canyon Anesthesia LLCGroup PAC ID 3678824752, 50 clinicians

Practice addresses (Care Compare)

18699 N 67TH Ave
Suite 140
Glendale, AZ 85308-7144
Phone (623) 376-8600

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
64.97
Promoting interoperability
98
Improvement activities
40
Cost
69.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Canyon Anesthesia LLC Anesthesiology CurrentSince Apr 28, 2025 Accepting new patients
Rector & Visitors of the University of Virginia Past Accepting new patients

Locations

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2940 E Banner Gateway Dr
Ste 100
Gilbert, AZ 85234
Phone (480) 543-3200

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

5555 W Thunderbird Rd
Ste 150
Glendale, AZ 85306
Phone (602) 588-5475

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1932528643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007",
            "telephone_number": "434-295-1000",
            "fax_number": "434-972-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22908",
            "telephone_number": "434-924-2283",
            "fax_number": "434-982-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Monroe Ln",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229033318",
            "country_code": "US",
            "telephone_number": "434-924-9999",
            "fax_number": "434-982-0768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1204 W Main St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229032824",
            "country_code": "US",
            "telephone_number": "434-982-6100",
            "fax_number": "434-982-0747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SHANTHI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101264464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.