SAISUBHODHINI REDDY MD
NPI 1174567127
Internal Medicine - Nephrology in Rochester, NY

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
94.18/100
CMS Quality Rating
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642(585) 275-4517(585) 442-9201 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Saisubhodhini Reddy Md NPPES

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

SAISUBHODHINI REDDY MD (NPI 1174567127) is an individual nephrology provider in Rochester, New York, licensed in New York (197401) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St James Mercy Hospital, and is a graduate of Temple University School Of Medicine (1993).

NPPES Registry Identity

NPI1174567127
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSAISUBHODHINI REDDYCredential: MD
Location Address601 ELMWOOD AVE, BOX MEDRochester, NY 14642-0001
Mailing Address601 Elmwood Ave, Box MedRochester, NY 14642-0001 · (585) 275-1554 · Fax (585) 276-2140
Fax(585) 442-9201
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1993
Enumeration DateJune 16, 2006
Last NPPES UpdateFebruary 14, 2012
NPI 1174567127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NY · 197401
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
601 ELMWOOD AVE, Rochester, NY 14642

Other Identifiers 1

Medicare PINBB2181NY

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

Saisubhodhini 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 ID3375731946
PECOS Enrollment IDI20101223000178
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 9

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
216 services35 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.
148 services81 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
129 services61 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.
47 services32 patients
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.
38 services35 patients
Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
35 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

94.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.47
Promoting Interoperability100
Improvement Activities40
Cost75.82

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.

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 Saisubhodhini Reddy's NPI number?

The NPI number for Saisubhodhini Reddy is 1174567127. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Saisubhodhini Reddy located?

Saisubhodhini Reddy practices at 601 Elmwood Ave Box Med, Rochester, NY 14642. The listed phone number is (585) 275-4517.

What is Saisubhodhini Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Saisubhodhini Reddy enrolled in Medicare?

Yes. Saisubhodhini 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.

Is Saisubhodhini Reddy affiliated with any hospitals?

According to CMS data, Saisubhodhini Reddy is affiliated with St James Mercy Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Saisubhodhini Reddy was last updated on February 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.