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

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: August 09, 2026.

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, and ordering and referring status from the CMS PECOS system.

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 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.

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.