Individual provider Active NPI

Thirupathi K Reddy, MD

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1992808992
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54174 Issued in CA
Practice address
175 N Jackson Ave Ste 103
San Jose, CA 95116-1909
Phone
(408) 272-1600
Fax
(408) 729-1600
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A54174 CA
Internal Medicine Physician 207R00000X A54174 CA Primary

Addresses

Primary practice location

175 N Jackson Ave Ste 103
San Jose, CA 95116-1909

Mailing address

2333 Mowry Ave
Suite 300
Fremont, CA 94538
Phone (510) 796-0222

Other practice location 1

500 E Calaveras Blvd
Ste 100
Milpitas, CA 95035-7708
Phone (408) 942-0980

Other practice location 2

2333 Mowry Ave
Suite 300
Fremont, CA 94538
Phone (510) 796-0222

Other identifiers 1

IdentifierTypeStateIssuer
215298MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041022000931 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133180151 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Township Hospital DistrictGroup PAC ID 2860488822, 28 clinicians
California Cardiovascular ConsultantsGroup PAC ID 7810800083, 30 clinicians

Practice addresses (Care Compare)

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

2333 Mowry Ave
Suite 300
Fremont, CA 94538-1626
Phone (510) 796-0222

Hospital & facility affiliations

  • Washington Hospital Hospital, Fremont, CA, CCN 050195
  • St Rose Hospital Hospital, Hayward, CA, CCN 050002
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

Merit-based Incentive Payment System (MIPS)

Final score
64.37 of 100Reported as group
Quality
53.29
Promoting interoperability
0
Improvement activities
40
Cost
87.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54174CAMDDentist
A54174CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Cardiovascular Consultants Internal Medicine CurrentSince Mar 23, 2009 Accepting new patients
Washington Township Hospital District CurrentSince Jan 1, 2000 Accepting new patients
Advanced Interventional Surgical Center CurrentSince Oct 8, 2018 Accepting new patients
Washington Township Hospital District Current Accepting new patients
Advanced Interventional Surgical Center CurrentSince Jul 30, 2018 Accepting new patients
California Cardiovascular Consultants Medical Associates Internal Medicine CurrentSince Mar 23, 2009 Accepting new patients
County of Santa Clara Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients

Locations

1532 150th Ave
Ashland, CA 94578
Phone (510) 351-6363

2333 Mowry Ave
Ste 300
Fremont, CA 94538
Phone (510) 670-1111

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

1900 Mowry Ave
Ste 309
Fremont, CA 94538
Phone (510) 790-9300

3077 Stevenson Blvd
Fremont, CA 94538
Phone (510) 438-9154

500 E Calaveras Blvd
Ste 100
Milpitas, CA 95035
Phone (408) 263-8141

6250 Thornton Ave
Newark, CA 94560
Phone (510) 791-1798

6170 Thornton Ave
Ste B
Newark, CA 94560
Phone (510) 378-5306

175 N Jackson Ave
Ste 103
San Jose, CA 95116
Phone (408) 272-1600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: treddy231154@santaclaravalley.direct-ci.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: treddy16311@alamedahs.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1992808992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MOWRY AVE",
            "address_2": "SUITE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-796-0222",
            "fax_number": "510-796-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE STE 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "408-272-1600",
            "fax_number": "408-729-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Calaveras Blvd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "950357708",
            "country_code": "US",
            "telephone_number": "408-942-0980",
            "fax_number": "408-942-0982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2333 Mowry Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "94538",
            "country_code": "US",
            "telephone_number": "510-796-0222",
            "fax_number": "510-796-7760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "THIRUPATHI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-08-24",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A54174",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215298",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.