Gautham P Reddy, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

04-29594 Issued in KS

Practice address

2135 N Collective LN
Wichita, KS 67206-3560

Phone

(316) 261-3220

Fax

(316) 261-3298

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Neurology

Education

University of Kansas School of Med (KC/Wich/Sal), 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurology Consultants of Kansas LLCGroup PAC ID 0840222832, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Neosho Memorial Regional Medical Center Hospital, Chanute, KS, CCN 171380
• St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• Ascension Via Christi Rehabilitation Hospital, Inc Inpatient rehabilitation facility, Wichita, KS, CCN 173028

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: greddy@ncks.org.direct.emds.com
• Direct secure messaging: gautham.reddy@khindirect.org
• FHIR API: https://fhir4.healow.com/fhir/r4/FJHFCD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127

  Limited Partnership Interest

  CMS ownership

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.

• Neurology Consultants of Kansas LLC

  • Neurology Physician
  • Wichita, KS
  • NPI 1760474936

  Electrodiagnostic Medicine

  Medicare reassignment Care Compare group NPD
• Kansas Imaging Consultants, PA

  • Diagnostic Radiology Physician
  • Wichita, KS
  • NPI 1841267663
  NPD (past)

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

• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• Ascension Via Christi Rehabilitation Hospital, Inc.

  • Rehabilitation Hospital
  • Wichita, KS
  • NPI 1083604789

  Inpatient rehabilitation facility

  Care Compare affiliation
• Commonspirit Kansas, Inc.

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196
  Care Compare affiliation
• Neosho Memorial Regional Medical Center

  • Medical Specialty Clinic/Center
  • Chanute, KS
  • NPI 1023251469

  Hospital

  Care Compare affiliation
• Neosho Memorial Regional Medical Center

  • Critical Access Hospital
  • Chanute, KS
  • NPI 1073566949
  Care Compare affiliation
• Neosho Memorial Regional Medical Center

  • Orthopaedic Surgery Physician
  • Chanute, KS
  • NPI 1619261211

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1942205653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 N COLLECTIVE LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063560",
            "telephone_number": "316-261-3220",
            "fax_number": "316-261-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 N COLLECTIVE LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063560",
            "telephone_number": "316-261-3220",
            "fax_number": "316-261-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GAUTHAM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "KS",
            "license": "04-29594",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-29594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greddy@ncks.org.direct.emds.com",
            "affiliation": "N",
            "address_1": "2135 N Collective Ln",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672063560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Recovery Unlimited KS, Inc.
• Recovery Unlimited KS, Inc.
• Recovery Unlimited, Inc
• Redbud Pediatrics LLC
• Michelle Kay Redden, RPA-C
• Mia Padala Reddy
• Pavan S Reddy, M.D.
• Ravali Reddy, MD
• Rebecca H Reddy, MD
• Sarva Padmaja Reddy, MD

• Neurology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Neurology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.