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VIVEK KASI REDDY MD
NPI 1053448431
Internal Medicine in Newark, DE

Active since February 27, 2007PECOS EnrolledAccepts Medicare Assignment
111 CONTINENTAL DR, SUITE 406, NEWARK, DE 19713(302) 368-2630(302) 368-1271 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vivek Kasi Reddy Md NPPES

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

VIVEK KASI REDDY MD (NPI 1053448431) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0008799) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2013).

NPPES Registry Identity

NPI1053448431
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVIVEK KASI REDDYCredential: MD
Location Address111 CONTINENTAL DR, SUITE 406Newark, DE 19713-4306
Mailing Address111 Continental Dr, Suite 406Newark, DE 19713-4306 · (302) 368-2630 · Fax (302) 368-1271
Phone(302) 368-2630
Fax(302) 368-1271
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2013
Enumeration DateFebruary 27, 2007
Last NPPES UpdateOctober 30, 2013
✔ NPI 1053448431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in DE · C1-0008799✔ Licensed in DE · C7-0003194
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
111 CONTINENTAL DR, Newark, DE 19713
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Other Identifiers 1

Medicare PIN131360ZAGBDE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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

Vivek Kasi 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 ID6305904731
PECOS Enrollment IDI20081029000106, I20170310000658
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 18

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
284 services223 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.
250 services207 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
166 services163 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.
163 services129 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
151 services102 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
100 services93 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
51%144 patients2/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers25 claims25 services$22.81 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.63 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$63.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

THOMAS P KNIPPER CRNA
Nurse Anesthetist, Certified Registered
111 CONTINENTAL DR
NEWARK, DE 19713
New Castle County (302) 709-4504
DR. SURESH TRIVEDI M.D.
Internal Medicine
111 CONTINENTAL DR, SUITE 406
NEWARK, DE 19713
New Castle County (302) 368-2630
DONTE L LANG CRNA
Nurse Anesthetist, Certified Registered
111 CONTINENTAL DR, SUITE 313
NEWARK, DE 19713
New Castle County (302) 709-4504
RABIA M QURESHI MD
Family Medicine
111 CONTINENTAL DR, SUITE 406
NEWARK, DE 19713
New Castle County (302) 368-2630
KUNAL PIKOO BHAGAT MD
Internal Medicine
111 CONTINENTAL DR, SUITE 406
NEWARK, DE 19713
New Castle County (302) 368-2630
JEFFREY LANDAU CRNA
Nurse Anesthetist, Certified Registered
111 CONTINENTAL DR
NEWARK, DE 19713
New Castle County (302) 709-4504
SEAN M OGDEN CRNA
Nurse Anesthetist, Certified Registered
111 CONTINENTAL DR, SUITE 412
NEWARK, DE 19713
New Castle County (302) 709-4497
INPATIENT CONSULTANTS OF PENNSYLVANIA PC
Hospitalist
111 CONTINENTAL DR, SUITE 406
NEWARK, DE 19713
New Castle County (302) 368-2630

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 Vivek Reddy's NPI number?

The NPI number for Vivek Reddy is 1053448431. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Vivek Reddy located?

Vivek Reddy practices at 111 Continental Dr Suite 406, Newark, DE 19713. The listed phone number is (302) 368-2630.

What is Vivek Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vivek Reddy enrolled in Medicare?

Yes. Vivek 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 Vivek Reddy accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Vivek 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 Vivek Reddy affiliated with any hospitals?

According to CMS data, Vivek Reddy is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Vivek Reddy was last updated on October 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.