ARCHANA M REDDY MD
NPI 1053997742
Family Medicine in Los Angeles, CA

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment
11980 SAN VICENTE BLVD, SUITE 102, LOS ANGELES, CA 90049(310) 208-7777(310) 445-8709 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Archana M Reddy Md NPPES

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

ARCHANA M REDDY MD (NPI 1053997742) is an individual family medicine provider in Los Angeles, California, licensed in California (A191979) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Un Of California, Riverside, School Of Medicine (2021).

NPPES Registry Identity

NPI1053997742
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameARCHANA M REDDYCredential: MD
Location Address11980 SAN VICENTE BLVD, SUITE 102Los Angeles, CA 90049-5012
Mailing Address5767 W Century Blvd, Ste 400Los Angeles, CA 90045-5631 · (310) 301-5138
Fax(310) 445-8709
Sole ProprietorNo
Medical School CMSUn Of California, Riverside, School Of MedicineGraduated 2021
Enumeration DateMarch 22, 2021
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 25, 2024
NPI 1053997742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A191979
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11980 SAN VICENTE BLVD, Los Angeles, CA 90049

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

Archana M 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 ID5597152520
PECOS Enrollment IDI20240820002938
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

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.
45 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90049 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

Dentist (Oral and Maxillofacial Surgery)
11980 SAN VICENTE BLVD, SUITE 505
LOS ANGELES, CA 90049
Marriage & Family Therapist
11980 SAN VICENTE BLVD, SUITE 909
LOS ANGELES, CA 90049
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11980 SAN VICENTE BLVD, SUITE 809
LOS ANGELES, CA 90049
Psychologist (Clinical)
11980 SAN VICENTE BLVD, SUITE 709
LOS ANGELES, CA 90049
Internal Medicine
11980 SAN VICENTE BLVD, STE 102
LOS ANGELES, CA 90049
Psychologist (Prescribing (Medical))
11980 SAN VICENTE BLVD, SUITE 810
LOS ANGELES, CA 90049
Psychologist (Clinical)
11980 SAN VICENTE BLVD, STE 712
LOS ANGELES, CA 90049
Dentist (Periodontics)
11980 SAN VICENTE BLVD, #811
LOS ANGELES, CA 90049

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 Archana Reddy's NPI number?

The NPI number for Archana Reddy is 1053997742. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Archana Reddy located?

Archana Reddy practices at 11980 San Vicente Blvd Suite 102, Los Angeles, CA 90049. The listed phone number is (310) 208-7777.

What is Archana Reddy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Archana Reddy enrolled in Medicare?

Yes. Archana 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.

When was this NPI record last updated?

The NPPES record for Archana Reddy was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.