SUDAMA REDDI M.D.
NPI 1184904583
Psychiatry & Neurology - Neurology in Plano, TX

NPI Status: Active since August 17, 2011

Contact Information

6124 W PARKER RD
SUITE 432
PLANO, TX
ZIP 75093
Phone: (972) 403-3100
Fax: (972) 403-3105

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  • Individual
  • Female
  • Psychiatry & Neurology
  • Neurology
  • PECOS Enrolled
  • Medicare Quality Reporting

About SUDAMA REDDI

This page provides the complete NPI Profile along with additional information for Sudama Reddi, a provider established in Plano, Texas with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1184904583 assigned on August 2011. The practitioner's primary taxonomy code is 2084N0400X with license number Q0815 (TX). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1184904583
Provider Name
SUDAMA REDDI M.D.
Gender
Female
Entity Type
Individual
Location Address
6124 W PARKER RD SUITE 432 PLANO, TX 75093
Location Phone
(972) 403-3100
Location Fax
(972) 403-3105
Mailing Address
6124 W PARKER RD SUITE 432 PLANO, TX 75093
Mailing Phone
(972) 403-3100
Mailing Fax
(972) 403-3105
Is Sole Proprietor?
Yes
Enumeration Date
08-17-2011
Last Update Date
09-25-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
Q0815
License State
TX
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Medicare Participation & PECOS Enrollment Status

Sudama Reddi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 75093 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.4
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $31.6
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.05
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $24.26
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 34% 239
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184904583, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 1 + 8 + 0 + 8 + 5 + 1 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1184904583.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
6124 W PARKER RD, STE 436
PLANO, TX 75093
Obstetrics & Gynecology
6124 W PARKER RD, SUITE 134
PLANO, TX 75093
Obstetrics & Gynecology
6124 W PARKER RD, SUITE 134
PLANO, TX 75093
Obstetrics & Gynecology
6124 W PARKER RD, SUITE 134
PLANO, TX 75093
Obstetrics & Gynecology
6124 W PARKER RD, SUITE 134
PLANO, TX 75093
Obstetrics & Gynecology
6124 W PARKER RD, SUITE 134
PLANO, TX 75093
Obstetrics & Gynecology
6124 W PARKER RD, BLDG 3, SUITE 136
PLANO, TX 75093
Obstetrics & Gynecology
6124 W PARKER RD, BLDG 3, SUITE 136
PLANO, TX 75093
Obstetrics & Gynecology
6124 W PARKER RD, BLDG 3, SUITE 136
PLANO, TX 75093
Specialist
6124 W PARKER RD, BUILDING 3, SUITE 232
PLANO, TX 75093
Pediatrics
6124 W PARKER RD, STE. 338
PLANO, TX 75093
Surgery
6124 W PARKER RD, SUITE 436
PLANO, TX 75093
Pathology (Anatomic Pathology & Clinical Pathology)
6124 W PARKER RD, STE G36
PLANO, TX 75093
Pathology (Anatomic Pathology & Clinical Pathology)
6124 W PARKER RD, STE G36
PLANO, TX 75093
Pathology (Anatomic Pathology & Clinical Pathology)
6124 W PARKER RD, STE G36
PLANO, TX 75093
Pathology (Anatomic Pathology & Clinical Pathology)
6124 W PARKER RD, STE G36
PLANO, TX 75093
Obstetrics & Gynecology
6124 W PARKER RD, STE. 332
PLANO, TX 75093
Internal Medicine (Gastroenterology)
6124 W PARKER RD, #230
PLANO, TX 75093
Family Medicine
6124 W PARKER RD, MOB III SUITE 234
PLANO, TX 75093
Psychiatry & Neurology (Neurology)
6124 W PARKER RD, STE 336
PLANO, TX 75093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184904583, enumerated as an "individual" on August 17, 2011.

The provider is located at 6124 W PARKER RD SUITE 432 PLANO, TX 75093 and the phone number is (972) 403-3100.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.