DR. KARUNA GHANTA REDDY M.D.
NPI 1235113259
Family Medicine in Franklin, KY

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
1112 S MAIN ST, FRANKLIN, KY 42134(270) 598-9595(270) 598-9590 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Karuna Ghanta Reddy M.d. NPPES

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

DR. KARUNA GHANTA REDDY M.D. (NPI 1235113259) is an individual family medicine provider in Franklin, Kentucky, licensed in Kentucky (36342) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Other (1994).

NPPES Registry Identity

NPI1235113259
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KARUNA GHANTA REDDYCredential: M.D.
Location Address1112 S MAIN STFranklin, KY 42134-2371
Mailing Address201 Park StBowling Green, KY 42101-1759 · (270) 598-9595 · Fax (270) 598-9590
Fax(270) 598-9590
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateDecember 2, 2005
Last NPPES UpdateDecember 18, 2017
NPI 1235113259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 36342
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 36342 (KY)
1112 S MAIN ST, Franklin, KY 42134

Accepted 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. Karuna Ghanta 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 ID8224094404
PECOS Enrollment IDI20041209000097
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 74

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,625 services33 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
1,223 services661 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
1,172 services652 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
1,029 services625 patients
Ldl cholesterol level 83721
The LDL cholesterol level is a test that measures the amount of low-density lipoprotein (LDL) in your blood. LDL is often referred to as 'bad cholesterol' because high levels can lead to heart disease. Regular testing helps monitor and manage your heart health.
876 services566 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
859 services539 patients

Hospital Affiliations CMS Care Compare 2

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

The Medical Center At Franklin

Critical Access Hospitals · Franklin, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181318
Location1100 Brookhaven RoadFranklin, KY 42135 · Simpson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42134 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers25 claims53 services$5.91 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims13 services$8.62 avg. paid by Medicare
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
3 suppliers18 claims18 services$105.94 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.

Nurse Practitioner (Family)
1112 S MAIN ST
FRANKLIN, KY 42134
Family Medicine
1112 S MAIN ST
FRANKLIN, KY 42134
Nurse Practitioner (Family)
1112 S MAIN ST
FRANKLIN, KY 42134
Nurse Practitioner (Family)
1112 S MAIN ST
FRANKLIN, KY 42134
Nurse Practitioner
1112 S MAIN ST
FRANKLIN, KY 42134
Nurse Practitioner (Family)
1112 S MAIN ST
FRANKLIN, KY 42134
Nurse Practitioner (Family)
1112 S MAIN ST
FRANKLIN, KY 42134
Physician Assistant
1112 S MAIN ST
FRANKLIN, KY 42134

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 Karuna Reddy's NPI number?

The NPI number for Karuna Reddy is 1235113259. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Karuna Reddy located?

Karuna Reddy practices at 1112 S Main St, Franklin, KY 42134. The listed phone number is (270) 598-9595.

What is Karuna Reddy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karuna Reddy enrolled in Medicare?

Yes. Karuna 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 Karuna Reddy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Karuna 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 Karuna Reddy affiliated with any hospitals?

According to CMS data, Karuna Reddy is affiliated with The Medical Center (bowling Green) and The Medical Center At Franklin.

When was this NPI record last updated?

The NPPES record for Karuna Reddy was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.