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DR. RAJU MANGA REDDY M.D.
NPI 1114218070
Internal Medicine - Pulmonary Disease in Austin, TX

Active since April 27, 2011PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
1301 W 38TH ST, AUSTIN, TX 78705(512) 324-3341 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Nov 20, 2025, Mar 1, 2025 and 6 more (9 updates tracked since 2016).

About Dr. Raju Manga Reddy M.d. NPPES

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

DR. RAJU MANGA REDDY M.D. (NPI 1114218070) is an individual pulmonary disease provider in Austin, Texas, licensed in Texas (S1245) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114218070
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RAJU MANGA REDDYCredential: M.D.
Location Address1301 W 38TH STAustin, TX 78705-1000
Mailing Address1301 W 38th StAustin, TX 78705-1000 · (512) 324-3341
Phone(512) 324-3341
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 27, 2011
Last NPPES UpdateMay 13, 20269 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1114218070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · S1245
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1301 W 38TH ST, Austin, TX 78705
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1810 W Highway 71Marble Falls, TX 78654-8602 · Phone (830) 201-8000 · Fax (830) 201-8008
Location 22802 Webberville RdAustin, TX 78702-2947 · Phone (512) 978-8130

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Raju Manga Reddy M.d. 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 ID2264726868
PECOS Enrollment IDI20221004001622
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
75 services48 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.
74 services42 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.
43 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
24%21 patients2/55-star benchmark: 93%
Cervical Cancer Screening
21%28 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
21%47 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
82%22 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
57%247 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
8%36 patients1/55-star benchmark: 100%
HIV Screening
15%47 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%73 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
43%67 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%85 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 92% · 64 patients
88%64 patients
Provide Patients Electronic Access to Their Health Information
77%47 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
69%26 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 37 patients
Patients totalRate: 3% · 37 patients
3%37 patients4/55-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.

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
1 supplier12 claims12 services$83.83 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$31.22 avg. paid by Medicare
Tracheostomy speaking valve L8501
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$121.68 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.

WILLIAM R WOODWARD MD
Specialist
1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705
Travis County (512) 454-5171
TEXAS CARDIOVASCULAR CONSULTANTS, PA
Internal Medicine (Cardiovascular Disease)
1301 W 38TH ST, SUITE 705
AUSTIN, TX 78705
Travis County (512) 617-6000
DR. KEVIN J. BOZIC MD
Orthopaedic Surgery
1301 W 38TH ST, STE 102
AUSTIN, TX 78705
Travis County (512) 454-4561
MEGAN LYN MCCOIN MD
Obstetrics & Gynecology
1301 W 38TH ST, SUITE 300
AUSTIN, TX 78705
Travis County (512) 454-5721
AMANDA MAEGHAN HERRERA LCSW-S
Social Worker (Clinical)
1301 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-3380
MARK J PIRWITZ MD, FACC
Internal Medicine (Interventional Cardiology)
1301 W 38TH ST, SUITE 400
AUSTIN, TX 78705
Travis County (512) 324-3440
MATTHEW C ROBINSON M.D.
Internal Medicine (Infectious Disease)
1301 W 38TH ST, SUITE 403
AUSTIN, TX 78705
Travis County (512) 459-0301
ZAHIR A MOMIN MD
Internal Medicine
1301 W 38TH ST, #205
AUSTIN, TX 78705
Travis County (512) 324-1864

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 Raju Reddy's NPI number?

The NPI number for Raju Reddy is 1114218070. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is Raju Reddy located?

Raju Reddy practices at 1301 W 38th St, Austin, TX 78705. The listed phone number is (512) 324-3341.

What is Raju Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Raju Reddy enrolled in Medicare?

Yes. Raju 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 Raju Reddy accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Raju 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 Raju Reddy affiliated with any hospitals?

According to CMS data, Raju Reddy is affiliated with Ascension Seton Medical Center Austin and Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Raju Reddy was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.