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SHALINI ROHINI REDDY MD
NPI 1053432856
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Winchester, VA

Active since April 02, 2007PECOS EnrolledAccepts Medicare Assignment
400 CAMPUS BLVD STE 210, WINCHESTER, VA 22601(540) 536-3470(540) 536-3471 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2022, May 28, 2021, Mar 2, 2021 and 2 more (5 updates tracked since 2015).

About Shalini Rohini Reddy Md NPPES

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

SHALINI ROHINI REDDY MD (NPI 1053432856) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Winchester, Virginia, licensed in Virginia (0101258958) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053432856
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameSHALINI ROHINI REDDYCredential: MD
Location Address400 CAMPUS BLVD STE 210Winchester, VA 22601-6906
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (540) 536-5100 · Fax (540) 536-0235
Phone(540) 536-3470
Fax(540) 536-3471
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 2, 2007
Last NPPES UpdateOctober 13, 20225 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1053432856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in VA · 0101258958
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
400 CAMPUS BLVD STE 210, Winchester, VA 22601
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Other Names 1

Former Name (1)Shalini Rohini Anne Md

Secondary Practice Locations 2

Location 1190 Campus Blvd Ste 201Winchester, VA 22601-2872 · Phone (540) 536-5980 · Fax (540) 536-5979
Location 21880 Amherst Street, Suite 310Winchester, VA 22601-2260 · Phone (540) 536-6721 · Fax (540) 536-6724

Other Identifiers 1

Medicaid2140471MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shalini Rohini 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 ID7315031929
PECOS Enrollment IDI20151221001665, I20190926000005
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 Reassignments

5

Medicare enrollment records show Shalini Reddy reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Winchester Medical Center
0.2 mi
Pulmonary Disease
190 CAMPUS BLVD STE 410
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
NPI 1053814129 (540) 536-5980
Valley Physician Enterprise, Inc.
0.3 mi
Ophthalmology
190 CAMPUS BLVD STE 210
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
NPI 1053800961 (540) 536-5820
East Mountain Health Physicians, Inc.
14 mi
Rural Health
4803 GERRARDSTOWN RD
Inwood, WV 25428
  • Reassigned Medicare billing, West Virginia enrollment
  • 135 clinicians in this Medicare group
NPI 1033681150 (304) 821-9011
Jefferson Memorial Hospital
19 mi
Internal Medicine
300 S PRESTON ST
Ranson, WV 25438
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1104242569 (West Virginia)
  • 110 clinicians in this Medicare group
NPI 1316364953 (304) 728-1669
West Virginia University Medical Corporation
19 mi
Family Medicine
300 S PRESTON ST
Ranson, WV 25438
  • Reassigned Medicare billing, West Virginia and Virginia enrollments
  • Also billed through NPI 1275504508 (Virginia)
  • 2,471 clinicians in this Medicare group
NPI 1215785563 (304) 728-1795

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

Areas of Expertise CMS Part B claims 6

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 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.
61 services50 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
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.
18 services11 patients
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.
13 services11 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.
13 services12 patients
Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DEVIN CHRISTOPHER FLAHERTY D.O., PH.D.
Surgery
400 CAMPUS BLVD STE 210
WINCHESTER, VA 22601
Winchester City (540) 536-3470
DR. MARIA SOPHIA S. VILLANUEVA M.D
Colon & Rectal Surgery
400 CAMPUS BLVD STE 210
WINCHESTER, VA 22601
Winchester City (540) 536-3470
MICHAEL AVERY DO
Surgery
400 CAMPUS BLVD STE 210
WINCHESTER, VA 22601
Winchester City (540) 536-3470
ELIZABETH S. SCHLUPP
Physician Assistant
400 CAMPUS BLVD STE 210
WINCHESTER, VA 22601
Winchester City (540) 536-3470
CAITLIN ANDERSEN
Physician Assistant
400 CAMPUS BLVD STE 210
WINCHESTER, VA 22601
Winchester City (540) 536-3470
HEIDY COS FELIPE
Surgery
400 CAMPUS BLVD STE 210
WINCHESTER, VA 22601
Winchester City (540) 536-3470
CAROLINE M KEYSER PA
Physician Assistant
400 CAMPUS BLVD STE 210
WINCHESTER, VA 22601
Winchester City (540) 536-3470
MS. RACHAEL MCKINNON WHITTEMORE PA-C
Physician Assistant
400 CAMPUS BLVD STE 210
WINCHESTER, VA 22601
Winchester City (540) 536-3470

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 Shalini Reddy's NPI number?

The NPI number for Shalini Reddy is 1053432856. It was assigned to this individual provider in the NPPES registry on April 2, 2007. The provider is also known as Shalini Rohini Anne MD.

Where is Shalini Reddy located?

Shalini Reddy practices at 400 Campus Blvd Ste 210, Winchester, VA 22601. The listed phone number is (540) 536-3470.

What is Shalini Reddy's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Shalini Reddy enrolled in Medicare?

Yes. Shalini 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.

Which organizations bill Medicare for Shalini Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shalini Reddy reassigns Medicare benefits to 5 organizations: Winchester Medical Center (Winchester, VA), Valley Physician Enterprise, Inc. (Winchester, VA), East Mountain Health Physicians, Inc. (Inwood, WV), Jefferson Memorial Hospital (Ranson, WV) and West Virginia University Medical Corporation (Ranson, WV). Each 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 Shalini Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shalini Reddy accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Shalini 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 Shalini Reddy affiliated with any hospitals?

According to CMS data, Shalini Reddy is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Shalini Reddy was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.