DR. SUDHAKAR REDDIVALAM M.D.
NPI 1003969429
Pediatrics - Pediatric Pulmonology in Madera, CA

Q: What is Sudhakar Reddivalam's NPI number?

The NPI number for Sudhakar Reddivalam is 1003969429. It was assigned to this individual provider in the NPPES registry on January 19, 2007. The provider is also known as Reddivalam Sudhakar M.D..

Q: What is Sudhakar Reddivalam's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Active since January 19, 2007PECOS Enrolled

9300 VALLEY CHILDRENS PL, MADERA, CA 93638(559) 353-5550(559) 353-5587 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Sudhakar Reddivalam M.d. NPPES

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

DR. SUDHAKAR REDDIVALAM M.D. (NPI 1003969429) is an individual pediatric pulmonology provider in Madera, California, licensed in California (A49339) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003969429

Entity TypeIndividualMale

Primary Taxonomy2080P0214X

Provider Legal NameDR. SUDHAKAR REDDIVALAMCredential: M.D.

Location Address9300 VALLEY CHILDRENS PLMadera, CA 93638-8761

Mailing Address9300 Valley Childrens PlMadera, CA 93638-8761 · (559) 353-5550 · Fax (559) 353-5587

Phone(559) 353-5550

Fax(559) 353-5587

Sole ProprietorYes

Enumeration DateJanuary 19, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1003969429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

License✔ Licensed in CA · A49339

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

9300 VALLEY CHILDRENS PL, Madera, CA 93638

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Other Names 1

Professional Name (2)Reddivalam Sudhakar M.d.

Other Identifiers 4

Medicare UPINF28687CA

Other810571901CA · Tax Id Number

MedicaidGR0103350CA

Other00A493390CA · Individual Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sudhakar Reddivalam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sudhakar Reddivalam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Children's Medical Group

85 mi

Pediatrics

1524 MCHENRY AVE, SUITE 550
Modesto, CA 95350

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Valley Childrens Medical Group
387 clinicians in this Medicare group

NPI 1437555265 (559) 353-5010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

38%48 patients2/55-star benchmark: 97%

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.

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.

MR. KEITH STANLEY MARTIN LCSW

Social Worker (Clinical)

9300 VALLEY CHILDRENS PL
MADERA, CA 93638

Madera County (558) 353-3000

JOHN SANCHEZ M.D.

Pediatrics

9300 VALLEY CHILDRENS PL
MADERA, CA 93638

Madera County (559) 353-5068

JILL LYNLEE CIELNICKY NP

Nurse Practitioner

9300 VALLEY CHILDRENS PL
MADERA, CA 93638

Madera County (559) 353-7290

MRS. ANGELA M ROMERO-WATERMAN MSW

Social Worker (Clinical)

9300 VALLEY CHILDRENS PL
MADERA, CA 93638

Madera County (559) 353-5270

SARAH MARIE SCOTT NP

Nurse Practitioner (Occupational Health)

9300 VALLEY CHILDRENS PL
MADERA, CA 93638

Madera County (559) 353-8674

DR. DAVID WAYNE SCHARNHORST M.D.

Pathology (Pediatric Pathology)

9300 VALLEY CHILDRENS PL, PATHOLOGY SC12
MADERA, CA 93638

Madera County (559) 353-6105

BRADY C BATES PHD

Psychologist

9300 VALLEY CHILDRENS PL
MADERA, CA 93638

Madera County (559) 353-6735

MS. KATHLEEN JEAN OLIARO MSW

Social Worker (Clinical)

9300 VALLEY CHILDRENS PL
MADERA, CA 93638

Madera County (559) 353-5270

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 Sudhakar Reddivalam's NPI number?

The NPI number for Sudhakar Reddivalam is 1003969429. It was assigned to this individual provider in the NPPES registry on January 19, 2007. The provider is also known as Reddivalam Sudhakar M.D..

Where is Sudhakar Reddivalam located?

Sudhakar Reddivalam practices at 9300 Valley Childrens Pl, Madera, CA 93638. The listed phone number is (559) 353-5550.

What is Sudhakar Reddivalam's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Sudhakar Reddivalam enrolled in Medicare?

Yes. Sudhakar Reddivalam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sudhakar Reddivalam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudhakar Reddivalam reassigns Medicare benefits to Valley Children's Medical Group (Modesto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sudhakar Reddivalam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sudhakar Reddivalam was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.