DR. ADHVITH REDDIVARI DO
NPI 1063917615
Emergency Medicine in Hattiesburg, MS
About Dr. Adhvith Reddivari Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ADHVITH REDDIVARI DO (NPI 1063917615) is an individual emergency medicine provider in Hattiesburg, Mississippi, licensed in Mississippi (28283) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Dr. Adhvith Reddivari Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Adhvith Reddivari reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 57 clinicians in this Medicare group
Conyers, GA 30012
- Reassigned Medicare billing, Georgia enrollment
- 85 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Fayette Hospital
Acute Care Hospitals · Fayetteville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
HATTIESBURG, MS 39402
HATTIESBURG, MS 39402
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 Adhvith Reddivari's NPI number?
The NPI number for Adhvith Reddivari is 1063917615. It was assigned to this individual provider in the NPPES registry on March 27, 2018.
Where is Adhvith Reddivari located?
Adhvith Reddivari practices at 5001 Hardy St, Hattiesburg, MS 39402. The listed phone number is (601) 296-3963.
What is Adhvith Reddivari's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Adhvith Reddivari enrolled in Medicare?
Yes. Adhvith Reddivari 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 Adhvith Reddivari's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adhvith Reddivari reassigns Medicare benefits to 2 organizations: Sandy Creek Emergency Group, PC (Fayetteville, GA) and Walker Lake Emergency Group, PC (Conyers, GA). 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 Adhvith Reddivari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adhvith Reddivari accept?
Health plans from Oscar Health and Oscar Insurance Company list Adhvith Reddivari 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 Adhvith Reddivari affiliated with any hospitals?
According to CMS data, Adhvith Reddivari is affiliated with Piedmont Fayette Hospital.
When was this NPI record last updated?
The NPPES record for Adhvith Reddivari was last updated on January 25, 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.
# Dr. Adhvith Reddivari, DO · NPI 1063917615
Emergency Medicine physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since March 27, 2018.
## Identity
- **NPI:** 1063917615 (Entity type: Individual)
- **Enumerated:** March 27, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 28283 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 5001 HARDY ST, Hattiesburg, MS 39402-1308
- **Phone:** (601) 296-3963
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sandy Creek Emergency Group, PC (NPI 1427817881, Fayetteville, GA); Walker Lake Emergency Group, PC (NPI 1437629342, Conyers, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2018
## Record status
- **NPPES last updated:** January 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063917615) · Data from the CMS NPPES public registry.