SILPA REDDY MD
NPI 1003855818
Internal Medicine - Hematology & Oncology in Atlanta, GA

Q: What is Silpa Reddy's NPI number?

The NPI number for Silpa Reddy is 1003855818. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Silpa Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Silpa Reddy was last updated on August 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment

66.59/100

CMS Quality Rating

5670 PEACHTREE DUNWOODY RD NE, SUITE 1100, ATLANTA, GA 30342(404) 851-2300(404) 851-2357 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Silpa Reddy Md NPPES

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

SILPA REDDY MD (NPI 1003855818) is an individual hematology & oncology provider in Atlanta, Georgia, licensed in Georgia (041476) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of University Of Virginia School Of Medicine (1999).

NPPES Registry Identity

NPI1003855818

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameSILPA REDDYCredential: MD

Location Address5670 PEACHTREE DUNWOODY RD NE, SUITE 1100Atlanta, GA 30342-1699

Mailing Address1100 Johnson Ferry Rd Ne, Suite 1100Sandy Springs, GA 30342-1709 · (404) 419-1165 · Fax (404) 419-1164

Phone(404) 851-2300

Fax(404) 851-2357

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1999

Enumeration DateJune 6, 2006

Last NPPES UpdateAugust 28, 2020

NPPES CertifiedAugust 28, 2020

✔ NPI 1003855818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in GA · 041476

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

5670 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342

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Other Identifiers 1

Medicaid00869668BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Silpa 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 ID2567361751

PECOS Enrollment IDI20100615000728

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 14

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.

401 services193 patients

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

221 services106 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.

157 services128 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

118 services42 patients

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

78 services67 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.

47 services37 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

45 services19 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.

43 services43 patients

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

43 services36 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

33 services33 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

25 services25 patients

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

24 services24 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

23 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110087

Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County

Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

66.59/100

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

Individually scored

Quality

76.67

Improvement Activities

Cost

31.41

Reported Quality Measures

Breast Cancer Screening

55%543 patients3/55-star benchmark: 100%

Colorectal Cancer Screening

75%997 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

50%28 patients3/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

93%4,025 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

96%841 patients4/55-star benchmark: 100%

Oncology: Medical and Radiation - Pain Intensity Quantified

99%880 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 20

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

JENNIFER KURRE WEBER ARNP

Nurse Practitioner

5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342

Fulton County (404) 255-1930

DR. PRADEEP KUMAR SINHA M.D.

Otolaryngology

5670 PEACHTREE DUNWOODY RD NE, SUITE 1280
ATLANTA, GA 30342

Fulton County (404) 257-1589

MEGAN CHRISTINA SWEET PA

Physician Assistant

5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342

Fulton County (404) 255-1930

LONNIE HERZOG M.D.

Internal Medicine

5670 PEACHTREE DUNWOODY RD NE, SUITE 1200
ATLANTA, GA 30342

Fulton County (404) 255-9100

LANA JEAN JACKSON P.A.

Physician Assistant

5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342

Fulton County (404) 255-1930

MICHAEL ALAN BALK MD

Internal Medicine (Cardiovascular Disease)

5670 PEACHTREE DUNWOODY RD NE, SUITE 880
ATLANTA, GA 30342

Fulton County (404) 256-2525

NABEEL A HAFEEZ MD

Internal Medicine (Cardiovascular Disease)

5670 PEACHTREE DUNWOODY RD NE, SUITE 880
ATLANTA, GA 30342

Fulton County (404) 256-2525

NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC

Internal Medicine (Hematology & Oncology)

5670 PEACHTREE DUNWOODY RD NE, SUITE 1100
ATLANTA, GA 30342

Fulton County (404) 851-2300

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 Silpa Reddy's NPI number?

The NPI number for Silpa Reddy is 1003855818. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Silpa Reddy located?

Silpa Reddy practices at 5670 Peachtree Dunwoody Rd NE Suite 1100, Atlanta, GA 30342. The listed phone number is (404) 851-2300.

What is Silpa Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Silpa Reddy enrolled in Medicare?

Yes. Silpa 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.

What insurance does Silpa Reddy accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Silpa Reddy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Silpa Reddy affiliated with any hospitals?

According to CMS data, Silpa Reddy is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Northside Hospital Gwinnett and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Silpa Reddy was last updated on August 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.