SHILPA REDDY D.O.
NPI 1114071412
Internal Medicine in Panama City, FL

Q: What is Shilpa Reddy's NPI number?

The NPI number for Shilpa Reddy is 1114071412. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Shilpa Reddy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shilpa Reddy was last updated on February 22, 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.

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

204 E. 19TH ST., DIGESTIVE DISEASES CENTER, PANAMA CITY, FL 32405(850) 763-5409(850) 215-4384 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2022, Aug 5, 2021 (2 updates tracked since 2021).

On this page

About Shilpa Reddy D.o. NPPES

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

SHILPA REDDY D.O. (NPI 1114071412) is an individual internal medicine provider in Panama City, Florida, licensed in Florida (OS10351) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension Sacred Heart Bay, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1114071412

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSHILPA REDDYCredential: D.O.

Location Address204 E. 19TH ST., DIGESTIVE DISEASES CENTERPanama City, FL 32405-4707

Mailing Address204 E 19th StPanama City, FL 32405-4707 · (850) 763-5409 · Fax (850) 215-4384

Phone(850) 763-5409

Fax(850) 215-4384

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJanuary 23, 2007

Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2022

✔ NPI 1114071412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · OS10351✔ Licensed in FL · UO1283

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.

204 E. 19TH ST., Panama City, FL 32405

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Other Identifiers 1

Medicaid2813653-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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

Shilpa Reddy D.o. 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 ID2365507829

PECOS Enrollment IDI20090217000188

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 22

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 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.

702 services553 patients

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.

594 services490 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

424 services393 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.

240 services110 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.

215 services215 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

167 services166 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

124 services124 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.

96 services92 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

70 services66 patients

Study of esophagus to assess movement 91010

This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.

61 services61 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

61 services61 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

60 services59 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

59 services59 patients

Monitoring and recording of esophageal function through nasal tube with electrode 91037

This procedure involves placing a thin tube with an electrode through your nose and into your esophagus. It helps to monitor and record the function of your esophagus, aiding in diagnosing any potential issues.

55 services55 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

46 services46 patients

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

44 services23 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

36 services32 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

30 services30 patients

Test for tone and sensation of rectum and anus 91120

This procedure checks the health of the lower digestive tract. The doctor gently examines the area to assess its muscle strength and sensitivity. This helps in detecting any abnormal conditions. It's a standard, safe procedure with minimal discomfort.

25 services25 patients

Study of rectum sensitivity and function 91122

This procedure examines the rectum's sensitivity and functionality. It involves a small, soft balloon inserted into the rectum and inflated to various degrees. The goal is to assess how well your rectum can sense and respond to different volumes. It's a crucial test for diagnosing certain digestive issues.

24 services24 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

20 services14 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

16 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100026

Location615 N Bonita AvePanama City, FL 32401 · Bay County

Emergency services

Jackson Hospital

Acute Care Hospitals · Marianna, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100142

Location4250 Hospital DrMarianna, FL 32446 · Jackson County

Emergency services Birthing friendly

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100242

Location449 W 23rd StPanama City, FL 32405 · Bay County

Emergency services Birthing friendly

Ascension Sacred Heart Gulf

Acute Care Hospitals · Port Saint Joe, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100313

Location3801 E Hwy 98Port Saint Joe, FL 32456 · Gulf County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32405 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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 Shilpa Reddy's NPI number?

The NPI number for Shilpa Reddy is 1114071412. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Shilpa Reddy located?

Shilpa Reddy practices at 204 E. 19th St. Digestive Diseases Center, Panama City, FL 32405. The listed phone number is (850) 763-5409.

What is Shilpa Reddy's specialty?

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

Is Shilpa Reddy enrolled in Medicare?

Yes. Shilpa 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 Shilpa Reddy accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Shilpa 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 Shilpa Reddy affiliated with any hospitals?

According to CMS data, Shilpa Reddy is affiliated with Ascension Sacred Heart Bay, Jackson Hospital, Hca Florida Gulf Coast Hospital and Ascension Sacred Heart Gulf.

When was this NPI record last updated?

The NPPES record for Shilpa Reddy was last updated on February 22, 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.