DR. SAPNA T REDDY MD
Accepted Insurance for NPI 1023015708
Internal Medicine - Gastroenterology in Toledo, OH

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
4235 SECOR RD, TOLEDO, OH 43623(419) 479-5455 Get Directions

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Does Dr. Reddy take my insurance?

103 Ohio plans sold on HealthCare.gov for 2026 include Dr. Reddy, from Paramount, CareSource, UnitedHealthcare and 3 other insurers. Insurers also list Dr. Reddy in Indiana, Kentucky, Michigan and Wisconsin.

Call before you book: insurer directories can be out of date, so call the office at (419) 479-5455 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a Ohio Medicaid ID; ask the office which Medicaid plans it takes.

169 plans · 2026 plan year

Ohio plans 103 plans

Plans sold to Ohio residents. Costs are for the standard version of each plan.

Paramount

26 plans · HMO
Accepting new patients
Paramount Everyday Gold NWO OEHMOGold$1,00074313OH0210052
Paramount Everyday Gold NWO Plus Adult Dental & Vision OEHMOGold$1,00074313OH0210046
Paramount Standard Gold NCO OEHMOGold$2,00074313OH0210032
Paramount Standard Gold NWO OEHMOGold$2,00074313OH0210031
Paramount Essential Gold NWO OEHMOGold$2,50074313OH0210001
Paramount Essential Gold NWO, Plus Adult Dental & Vision OEHMOGold$2,50074313OH0210041
Paramount Standard Silver NCO OEHMOSilver$6,00074313OH0210034
Paramount Standard Silver NWO OEHMOSilver$6,00074313OH0210033
Paramount Everyday Silver NCO OEHMOSilver$6,50074313OH0210013
Paramount Everyday Silver NCO Plus Adult Dental & Vision OEHMOSilver$6,50074313OH0210048
Paramount Everyday Silver NWO OEHMOSilver$6,50074313OH0210002
Paramount Everyday Silver NWO Plus Adult Dental & Vision OEHMOSilver$6,50074313OH0210047
Paramount Essential Silver HRA NCO OEHMOSilver$7,00074313OH0210037
Paramount Essential Silver HRA NCO, Plus Adult Dental & Vision OEHMOSilver$7,00074313OH0210043
Paramount Essential Silver HRA NWO OEHMOSilver$7,00074313OH0210012
Paramount Essential Silver HRA NWO, Plus Adult Dental & Vision OEHMOSilver$7,00074313OH0210042
Paramount Economy Bronze HSA NWO OEHMOExpanded Bronze$6,50074313OH0210008
Paramount Economy Bronze NCO OEHMOExpanded Bronze$6,50074313OH0210022
Paramount Economy Bronze NCO, Plus Adult Dental & Vision Off ExchangeHMOExpanded Bronze$6,50074313OH0210045
Paramount Economy Bronze NWO, Plus Adult Dental & Vision OEHMOExpanded Bronze$6,50074313OH0210044
Paramount Standard Expanded Bronze NCO OEHMOExpanded Bronze$7,50074313OH0210036
Paramount Standard Expanded Bronze NWO OEHMOExpanded Bronze$7,50074313OH0210035
Paramount Value Bronze HRA NCO OEHMOExpanded Bronze$10,60074313OH0210023
Paramount Value Bronze HRA NCO Plus Adult Dental & Vision OEHMOExpanded Bronze$10,60074313OH0210050
Paramount Value Bronze HRA NWO OEHMOExpanded Bronze$10,60074313OH0210051
Paramount Value Bronze HRA NWO Plus Adult Dental & Vision OEHMOExpanded Bronze$10,60074313OH0210049

CareSource

21 plans · HMO
Accepting new patients
Core Gold 1500 $10 Generic DrugsHMOGold$1,50077552OH0010212
Core Gold 1500 $10 Generic Drugs + Adult Vision & FitnessHMOGold$1,50077552OH0020212
Gold 2000 $15 Generic DrugsHMOGold$2,00077552OH0010202
Gold 2000 $15 Generic Drugs + Adult Vision & FitnessHMOGold$2,00077552OH0020202
Diabetes Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00077552OH0010210
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00077552OH0020210
Healthy Heart Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00077552OH0010215
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00077552OH0020215
Diabetes Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00077552OH0010209
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00077552OH0020209
Healthy Heart Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00077552OH0010218
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00077552OH0020218
HDHP Preventive Silver 5500 $0 Chronic Care DrugsHMOSilver$5,50077552OH0010219
Silver 6000 $20 Generic DrugsHMOSilver$6,00077552OH0010203
Silver 6000 $20 Generic Drugs + Adult Vision & FitnessHMOSilver$6,00077552OH0020203
Low Premium Silver 6200 $3 Generic DrugsHMOSilver$6,20077552OH0010201
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & FitnessHMOSilver$6,20077552OH0020201
Bronze 7500 $25 Generic DrugsHMOExpanded Bronze$7,50077552OH0010204
Bronze 7500 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$7,50077552OH0020204
Low Premium Bronze 10600 $25 Generic DrugsHMOExpanded Bronze$10,60077552OH0010222
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$10,60077552OH0020222

UnitedHealthcare

17 plans · HMO
Accepting new patients
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)HMOGold$033931OH0030032
UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)HMOGold$033931OH0070008
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)HMOGold$70033931OH0030042
UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)HMOGold$70033931OH0070002
UHC Gold Standard (No Referrals)HMOGold$2,00033931OH0030014
UHC Gold Standard+ (Dental + Vision, No Referrals)HMOGold$2,00033931OH0070009
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)HMOSilver$033931OH0030030
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)HMOSilver$033931OH0070007
UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)HMOSilver$3,25033931OH0030031
UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals)HMOSilver$3,25033931OH0070001
UHC Silver Standard (No Referrals)HMOSilver$6,00033931OH0030021
UHC Silver Standard+ (Dental + Vision, No Referrals)HMOSilver$6,00033931OH0070006
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)HMOBronze$10,60033931OH0030044
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)HMOExpanded Bronze$033931OH0030035
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)HMOExpanded Bronze$033931OH0070004
UHC Bronze Standard (No Referrals)HMOExpanded Bronze$7,50033931OH0030026
UHC Bronze Standard+ (Dental + Vision, No Referrals)HMOExpanded Bronze$7,50033931OH0070005

Ambetter Health

16 plans · HMO
Accepting new patients
Clear GoldHMOGold$1,20041047OH0010067
Clear Gold + Vision + Adult DentalHMOGold$1,20041047OH0030071
Complete GoldHMOGold$1,45041047OH0010041
Complete Gold + Vision + Adult DentalHMOGold$1,45041047OH0030041
Standard GoldHMOGold$2,00041047OH0010071
Standard Gold + Vision + Adult DentalHMOGold$2,00041047OH0030074
Complete SilverHMOSilver$5,95041047OH0010025
Complete Silver + Vision + Adult DentalHMOSilver$5,95041047OH0030025
Standard SilverHMOSilver$6,00041047OH0010070
Standard Silver + Vision + Adult DentalHMOSilver$6,00041047OH0030073
Choice Bronze HSAHMOExpanded Bronze$7,25041047OH0010045
Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,25041047OH0030045
Standard Expanded BronzeHMOExpanded Bronze$7,50041047OH0010069
Standard Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50041047OH0030072
Everyday BronzeHMOExpanded Bronze$8,45041047OH0010057
Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45041047OH0030057

MedMutual

12 plans · HMO
Accepting new patients
Gold $500 w/ Virtual & Wellness ON-EXHMOGold$50099969OH0080545
Gold $1,000 w/ Adult Dental ON-EXHMOGold$1,00099969OH0080546
Gold $1,000 w/ Virtual & Wellness ON-EXHMOGold$1,00099969OH0080543
Gold Standard w/ Virtual & WellnessHMOGold$2,00099969OH0080492
Silver $5,000 w/ Adult Dental ON-EXHMOSilver$5,00099969OH0080549
Silver $5,000 w/ Virtual & Wellness ON-EXHMOSilver$5,00099969OH0080548
Silver $5,800 w/ Virtual & Wellness ON-EXHMOSilver$5,80099969OH0080547
Silver Standard w/ Virtual & WellnessHMOSilver$6,00099969OH0080496
Bronze HSA $7,300 ON-EXHMOExpanded Bronze$7,30099969OH0080498
Bronze Standard w/ Virtual & WellnessHMOExpanded Bronze$7,50099969OH0080500
Bronze $8,300 w/ Adult Dental ON-EXHMOExpanded Bronze$8,30099969OH0080550
Bronze $8,300 w/ Virtual & Wellness ON-EXHMOExpanded Bronze$8,30099969OH0080499

Anthem Blue Cross and Blue Shield

11 plans · HMO
Accepting new patients
Pathway X HMO and Rx Choice Tiered Network · 6 plans · Participating tier
Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)HMOSilver$4,00029276OH0970005
Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)HMOSilver$5,00029276OH0970006
Anthem Silver Pathway 5500 for HSAHMOSilver$5,50029276OH0970004
Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)HMOBronze$10,60029276OH0970001
Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)HMOExpanded Bronze$6,00029276OH0970002
Anthem Bronze Pathway 8500 for HSAHMOExpanded Bronze$8,50029276OH0970012
Pathway X HMO and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)HMOGold$2,00029276OH0970009
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)HMOSilver$6,00029276OH0970008
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)HMOExpanded Bronze$7,50029276OH0970007
Pathway X HMO, Dental Prime, and Rx Choice Tiered Network · 2 plans · Participating tier
Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)HMOSilver$4,00029276OH0970011
Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)HMOBronze$10,60029276OH0970010

Also listed in other states 66 plans · 4 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Ambetter Health · Kentucky

16 plans · HMO
Accepting new patientsDeductible $800 to $8,450
Everyday GoldHMOGold$80072001KY0020010
Everyday Gold + Vision + Adult DentalHMOGold$80072001KY0030010
Complete GoldHMOGold$1,45072001KY0020009
Complete Gold + Vision + Adult DentalHMOGold$1,45072001KY0030009
Enhanced Asthma/COPD Care Silver with $0 Drug OptionsHMOSilver$5,90072001KY0020012
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult DentalHMOSilver$5,90072001KY0030012
Complete SilverHMOSilver$5,95072001KY0020005
Complete Silver + Vision + Adult DentalHMOSilver$5,95072001KY0030005
Focused SilverHMOSilver$6,30072001KY0020007
Focused Silver + Vision + Adult DentalHMOSilver$6,30072001KY0030007
Clear SilverHMOSilver$7,00072001KY0020006
Clear Silver + Vision + Adult DentalHMOSilver$7,00072001KY0030013
Choice Bronze HSAHMOExpanded Bronze$7,25072001KY0020002
Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,25072001KY0030002
Everyday BronzeHMOExpanded Bronze$8,45072001KY0020003
Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45072001KY0030003

UnitedHealthcare · Michigan

13 plans · HMO
Accepting new patientsDeductible $0 to $10,600
UHC Gold Copay Focus (No Referrals)HMOGold$071667MI0010042
UHC Gold Advantage (No Referrals)HMOGold$1,50071667MI0010048
UHC Gold Advantage+ (Dental + Vision, No Referrals)HMOGold$1,50071667MI0050006
UHC Gold Standard (No Referrals)HMOGold$2,00071667MI0010026
UHC Silver Advantage (No Referrals)HMOSilver$2,90071667MI0010041
UHC Silver Advantage+ (Dental + Vision, No Referrals)HMOSilver$2,90071667MI0050001
UHC Silver Value (No Referrals)HMOSilver$4,00071667MI0010033
UHC Silver Value+ (Dental + Vision, No Referrals)HMOSilver$4,00071667MI0050004
UHC Silver Standard (No Referrals)HMOSilver$6,00071667MI0010028
UHC Bronze Essential (No Referrals)HMOBronze$10,60071667MI0010044
UHC Bronze Essential+ (Dental + Vision, No Referrals)HMOBronze$10,60071667MI0050005
UHC Bronze Copay Focus (No Referrals)HMOExpanded Bronze$071667MI0010039
UHC Bronze Standard (No Referrals)HMOExpanded Bronze$7,50071667MI0010030

Ambetter Health · Indiana

10 plans · HMO
Accepting new patientsDeductible $0 to $6,300
Elite GoldHMOGold$035065IN0040007
Elite Gold + Vision + Adult DentalHMOGold$035065IN0050006
Complete GoldHMOGold$1,45035065IN0040004
Complete Gold + Vision + Adult DentalHMOGold$1,45035065IN0050003
Standard GoldHMOGold$2,00035065IN0040013
Standard Gold + Vision + Adult DentalHMOGold$2,00035065IN0050012
Standard SilverHMOSilver$6,00035065IN0040001
Standard Silver + Vision + Adult DentalHMOSilver$6,00035065IN0050001
Focused SilverHMOSilver$6,30035065IN0040010
Focused Silver + Vision + Adult DentalHMOSilver$6,30035065IN0050009

Ambetter Health · Michigan

9 plans · HMO
Accepting new patientsDeductible $0 to $7,000
Elite GoldHMOGold$058594MI0030021
Elite Gold + Vision + Adult DentalHMOGold$058594MI0040023
Everyday GoldHMOGold$80058594MI0030020
Everyday Gold + Vision + Adult DentalHMOGold$80058594MI0040020
Standard GoldHMOGold$2,00058594MI0030025
Standard Gold + Vision + Adult DentalHMOGold$2,00058594MI0040026
Standard SilverHMOSilver$6,00058594MI0030024
Standard Silver + Vision + Adult DentalHMOSilver$6,00058594MI0040025
Clear SilverHMOSilver$7,00058594MI0030017

Anthem Blue Cross and Blue Shield · Wisconsin

9 plans · POS
Accepting new patientsDeductible $0 to $8,450
Blue Preferred and Rx Choice Tiered Network · 6 plans · Participating tier
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00079475WI0560005
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)POSSilver$4,00079475WI0560009
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$5,50079475WI0560004
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)POSExpanded Bronze$079475WI0560001
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)POSExpanded Bronze$5,00079475WI0560003
Anthem Bronze Preferred/Broad HSA (+ Incentives)POSExpanded Bronze$8,45079475WI0560002
Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00079475WI0560008
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00079475WI0560007
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50079475WI0560006

Priority Health · Michigan

9 plans · HMO
Accepting new patientsDeductible $2,000 to $9,500
Priority Health HMO network · 7 plans · Mypriority HMO tier
MyPriority Standard GoldHMOGold$2,00029698MI0541320
MyPriority Balanced SilverHMOSilver$3,20029698MI0541220
MyPriority Premier SilverHMOSilver$5,50029698MI0541260
MyPriority Standard SilverHMOSilver$6,00029698MI0541310
MyPriority Standard BronzeHMOExpanded Bronze$7,50029698MI0541300
MyPriority Value Bronze HSAHMOExpanded Bronze$7,50029698MI0541200
MyPriority Value BronzeHMOExpanded Bronze$9,50029698MI0541210
Priority Health HMO Plus network · 2 plans · Mypriority HMO tier
MyPriority Standard Silver - TravelHMOSilver$6,00029698MI0541316
MyPriority Standard Bronze - TravelHMOExpanded Bronze$7,50029698MI0541306

Questions about Dr. Reddy’s insurance

What insurance does Dr. Reddy take?

In Ohio, Paramount, CareSource, UnitedHealthcare, Ambetter Health, MedMutual and Anthem Blue Cross and Blue Shield include Dr. Reddy in 103 Marketplace plans for 2026. Call the office at (419) 479-5455 to confirm your plan before booking.

Is Dr. Reddy accepting new patients?

The insurers that list Dr. Reddy report that Dr. Reddy is accepting new patients. Call the office at (419) 479-5455 to confirm your plan before booking.

Do I need a referral to see Dr. Reddy?

Not under the Ohio plans that list Dr. Reddy: the 2026 plan files say a specialist referral is not required.

Does Dr. Reddy accept Medicare?

Yes. CMS files show Dr. Reddy accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Anthem Blue Cross and Blue Shield: Oct 15, 2026
CareSource: Oct 15, 2026
Ambetter Health: Oct 14, 2026
MedMutual: Oct 14, 2026
UnitedHealthcare: Oct 13, 2026
Priority Health: Sep 21, 2026
Paramount: Jul 31, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2026
CMS state-based exchange public use filesPlan details for states that run their own exchange, here Kentucky. No document links.Plan year 2026, Jun 3, 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.