DR. KARUNA GHANTA REDDY M.D.
NPI 1235113259
Family Medicine in Franklin, KY
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
Specialties & Licenses 2
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Karuna Reddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bowling Green, KY 42101
- Reassigned Medicare billing, Kentucky enrollment
- 211 clinicians in this Medicare group
Chillicothe, OH 45601
- Reassigned Medicare billing, Kentucky enrollment
- 26 clinicians in this Medicare group
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 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.
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, KYThe Medical Center At Franklin
Critical Access Hospitals · Franklin, KYPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Karuna Reddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karuna Reddy reassigns Medicare benefits to 2 organizations: Graves Gilbert Clinic PLLC (Bowling Green, KY) and Pai Participant 1 LLC (Chillicothe, OH). 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 Karuna Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karuna Reddy accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield 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.