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PALLAVI DUNDUMALLA REDDY M.D.
NPI 1164798724
Family Medicine - Sleep Medicine in Burlington, NC

Active since March 28, 2012PECOS EnrolledAccepts Medicare Assignment
1236 HUFFMAN MILL RD STE 1600, BURLINGTON, NC 27215(336) 438-1070(336) 438-1077 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 20, 2025, Feb 5, 2024, Dec 20, 2021 and 4 more (7 updates tracked since 2016).

About Pallavi Dundumalla Reddy M.d. NPPES

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

PALLAVI DUNDUMALLA REDDY M.D. (NPI 1164798724) is an individual sleep medicine provider in Burlington, North Carolina, licensed in North Carolina (202102820) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Alamance Regional Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1164798724
Entity TypeIndividualFemale
Primary Taxonomy207QS1201X
Provider Legal NamePALLAVI DUNDUMALLA REDDYCredential: M.D.
Location Address1236 HUFFMAN MILL RD STE 1600Burlington, NC 27215-8700
Mailing AddressPo Box 745040Atlanta, GA 30374-5040
Phone(336) 438-1070
Fax(336) 438-1077
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 28, 2012
Last NPPES UpdateFebruary 20, 20257 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1164798724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS1201X
Licenses✔ Licensed in NC · 202102820✔ Licensed in VA · 0101261033✔ Licensed in MD · D86102
Definition
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 202102820 (NC)
1236 HUFFMAN MILL RD STE 1600, Burlington, NC 27215
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.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

Pallavi Dundumalla 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 ID1557592649
PECOS Enrollment IDI20211118002575
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Pallavi Reddy reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Moses H. Cone Memorial Hospital Operating Corporation
2.5 mi
Family Medicine
301 S O'KELLY AVE
Elon, NC 27244
  • Reassigned Medicare billing, North Carolina enrollment
  • 835 clinicians in this Medicare group
NPI 1558063958 (336) 278-7230
Moses Cone Medical Services, Inc.
16 mi
Internal Medicine
1200 N ELM ST
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 351 clinicians in this Medicare group
NPI 1427095249 (336) 832-9943
Privia Medical Group, LLC
235 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850
Frederick Health Medical Group LLC
248 mi
Urgent Care
1194 DUTCHMANS CREEK DR UNIT 3
Brunswick, MD 21716
  • Reassigned Medicare billing, Maryland enrollment
  • 245 clinicians in this Medicare group
NPI 1538860069 (240) 215-6310
American Family Care, LLC
394 mi
Primary Care
366 EAST MEIGHAN BLVD
Gadsden, AL 35903
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
NPI 1730587338 (256) 485-0982

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.

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.
110 services86 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
47 services47 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.
32 services32 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Alamance Regional Medical Center

Acute Care Hospitals · Burlington, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340070
Location1240 Huffman Mill RdBurlington, NC 27216 · Alamance County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27215 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers231 claims231 services$31.56 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers63 claims63 services$70.48 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers63 claims158 services$28.10 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers151 claims781 services$15.54 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
10 suppliers38 claims212 services$11.91 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
15 suppliers192 claims192 services$44.92 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALZORA LOUISE BENJAMIN
Nurse Practitioner (Acute Care)
1236 HUFFMAN MILL RD STE 1600
BURLINGTON, NC 27215
Alamance County (336) 438-1070
MRS. DEBORAH FRANKS WELLS M.S.
Genetic Counselor, MS
1236 HUFFMAN MILL RD STE 1600
BURLINGTON, NC 27215
Alamance County (336) 890-3255

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 Pallavi Reddy's NPI number?

The NPI number for Pallavi Reddy is 1164798724. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Where is Pallavi Reddy located?

Pallavi Reddy practices at 1236 Huffman Mill Rd Ste 1600, Burlington, NC 27215. The listed phone number is (336) 438-1070.

What is Pallavi Reddy's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Pallavi Reddy enrolled in Medicare?

Yes. Pallavi 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.

Which organizations bill Medicare for Pallavi Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pallavi Reddy reassigns Medicare benefits to 5 organizations: The Moses H. Cone Memorial Hospital Operating Corporation (Elon, NC), Moses Cone Medical Services, Inc. (Greensboro, NC), Privia Medical Group, LLC (Arlington, VA), Frederick Health Medical Group LLC (Brunswick, MD) and American Family Care, LLC (Gadsden, AL). 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 Pallavi Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pallavi Reddy accept?

Health plans from AmeriHealth Caritas Next, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Pallavi 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 Pallavi Reddy affiliated with any hospitals?

According to CMS data, Pallavi Reddy is affiliated with Alamance Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Pallavi Reddy was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.