KETHAN REDDY MD
NPI 1003444142
Family Medicine in Lawrenceville, NJ

Q: What is Kethan Reddy's NPI number?

The NPI number for Kethan Reddy is 1003444142. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Kethan Reddy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kethan Reddy was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment

95.77/100

CMS Quality Rating

133 FRANKLIN CORNER RD, LAWRENCEVILLE, NJ 08648(609) 815-7270 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2023, Apr 19, 2021, Apr 1, 2020 (3 updates tracked since 2020).

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About Kethan Reddy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETHAN REDDY MD (NPI 1003444142) is an individual family medicine provider in Lawrenceville, New Jersey, licensed in New Jersey (25MA11666100) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003444142

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKETHAN REDDYCredential: MD

Location Address133 FRANKLIN CORNER RDLawrenceville, NJ 08648-2531

Mailing Address133 Franklin Corner RdLawrenceville, NJ 08648-2531 · (609) 815-7270

Phone(609) 815-7270

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 1, 2020

Last NPPES UpdateJuly 11, 20233 updates tracked since enumeration

NPPES CertifiedJuly 11, 2023

✔ NPI 1003444142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA11666100

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

133 FRANKLIN CORNER RD, Lawrenceville, NJ 08648

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kethan Reddy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173947629

PECOS Enrollment IDI20230726003194

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

164 services124 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

57 services53 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

36 services30 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

29 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310044

LocationOne Capital WayPennington, NJ 08534 · Mercer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.75

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARSHA PORTNOY, LCSW LLC

Social Worker (Clinical)

133 FRANKLIN CORNER RD, PSYCHOTHERAPY AT THE ATRIUM - 2ND FL
LAWRENCEVILLE, NJ 08648

Mercer County (609) 240-3126

SRIVANI RACHAKONDA

Family Medicine

133 FRANKLIN CORNER RD
LAWRENCEVILLE, NJ 08648

Mercer County (609) 815-7270

DR. RAUL HAMAT FIGUEROA D.M.D

Dentist (Periodontics)

133 FRANKLIN CORNER RD
LAWRENCEVILLE, NJ 08648

Mercer County (609) 896-0700

MRS. JACQUELINE ANNE RITTER PA-C

Physician Assistant

133 FRANKLIN CORNER RD
LAWRENCEVILLE, NJ 08648

Mercer County (609) 815-7270

DR. KAITLIN C SMALL D.M.D.

Dentist

133 FRANKLIN CORNER RD
LAWRENCEVILLE, NJ 08648

Mercer County (609) 896-0529

BRIAN L SHAFFER MD

Internal Medicine

133 FRANKLIN CORNER RD, 2ND FL
LAWRENCEVILLE, NJ 08648

Mercer County (609) 436-5900

DR. MUTHULAKSHMI RAMALINGAM M.D.

Internal Medicine

133 FRANKLIN CORNER RD
LAWRENCEVILLE, NJ 08648

Mercer County (609) 815-7270

MS. BETTY J WEBER LPC LCADC

Counselor (Mental Health)

133 FRANKLIN CORNER RD
LAWRENCEVILLE, NJ 08648

Mercer County (609) 731-8046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kethan Reddy's NPI number?

The NPI number for Kethan Reddy is 1003444142. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Kethan Reddy located?

Kethan Reddy practices at 133 Franklin Corner Rd, Lawrenceville, NJ 08648. The listed phone number is (609) 815-7270.

What is Kethan Reddy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kethan Reddy enrolled in Medicare?

Yes. Kethan Reddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kethan Reddy affiliated with any hospitals?

According to CMS data, Kethan Reddy is affiliated with Capital Health Medical Center - Hopewell.

When was this NPI record last updated?

The NPPES record for Kethan Reddy was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.