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DIVYA RAVINDRA REDDY MD
NPI 1114456027
Pediatrics - Pediatric Nephrology in Augusta, GA

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
1120 15TH ST, AUGUSTA, GA 30912(706) 721-9442 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2025, Jul 21, 2022, Jun 6, 2017 (3 updates tracked since 2017).

About Divya Ravindra Reddy Md NPPES

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

DIVYA RAVINDRA REDDY MD (NPI 1114456027) is an individual pediatric nephrology provider in Augusta, Georgia, licensed in Texas (V3946) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Childrens Medical Ctr Of Dallas, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1114456027
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameDIVYA RAVINDRA REDDYCredential: MD
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1120 15th StAugusta, GA 30912-0004 · (706) 721-9442
Phone(706) 721-9442
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 6, 2017
Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1114456027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in TX · V3946
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedPediatricsTaxonomy 208000000X · License 00009174 (GA)
1120 15TH ST, Augusta, GA 30912
Open in Google Maps ↗

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

Divya Ravindra 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 ID7618216235
PECOS Enrollment IDI20250308000223
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.

Hospital Affiliations CMS Care Compare

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

Childrens Medical Ctr Of Dallas

Childrens · Dallas, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453302
Location1935 Medical District DriveDallas, TX 75235 · Dallas County
Emergency services

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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

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.

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
MR. ROBERT SCOTT SMITH FNP-C
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8549
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623

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 Divya Ravindra Reddy's NPI number?

The NPI number for Divya Ravindra Reddy is 1114456027. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Divya Ravindra Reddy located?

Divya Ravindra Reddy practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-9442.

What is Divya Ravindra Reddy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Divya Ravindra Reddy enrolled in Medicare?

Yes. Divya Ravindra 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 Divya Ravindra 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 3 other insurers list Divya Ravindra 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 Divya Ravindra Reddy affiliated with any hospitals?

According to CMS data, Divya Ravindra Reddy is affiliated with Childrens Medical Ctr Of Dallas.

When was this NPI record last updated?

The NPPES record for Divya Ravindra Reddy was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.