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DR. VENKATESHA REDDY M.D.
NPI 1245218817
Psychiatry & Neurology - Neurology in Newburgh, NY

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
4 VICTORY CT, NEWBURGH, NY 12550(845) 565-2477(845) 565-7084 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2024, Apr 29, 2024, Jan 27, 2023 (3 updates tracked since 2023).

About Dr. Venkatesha Reddy M.d. NPPES

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

DR. VENKATESHA REDDY M.D. (NPI 1245218817) is an individual neurology provider in Newburgh, New York, licensed in New York (122096) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Farmington, and is a graduate of University Of Manitoba, Faculty Of Medicine (1980).

NPPES Registry Identity

NPI1245218817
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. VENKATESHA REDDYCredential: M.D.
Location Address4 VICTORY CTNewburgh, NY 12550-1745
Mailing AddressPo Box 2609Newburgh, NY 12550-0842 · (845) 565-2477 · Fax (845) 565-7084
Phone(845) 565-2477
Fax(845) 565-7084
Sole ProprietorYes
Medical School CMSUniversity Of Manitoba, Faculty Of MedicineGraduated 1980
Enumeration DateJanuary 4, 2006
Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1245218817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in NY · 122096✔ Licensed in CT · 69758✔ Licensed in NM · MD2024-0895
Definition
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.
4 VICTORY CT, Newburgh, NY 12550
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Secondary Practice Location 1

Location 12300 E 30th St Ste B-102Farmington, NM 87401-8991 · Phone (505) 609-6790

Other Identifiers 1

Medicaid00493325NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Cigna Healthcare.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. Venkatesha 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 ID6608820998
PECOS Enrollment IDI20050309000814
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

3

Medicare enrollment records show Venkatesha Reddy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Medical Care, P.C.
29 mi
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
NPI 1982643003 (914) 241-1050
Cumberland County Hospital System Inc
497 mi
Surgery
803 TILGHMAN DR STE 200
Dunn, NC 28334
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1417355629 (910) 892-1550
San Juan Regional Medical Center Inc
1,840 mi
Family Medicine
120 LLANO ST
Aztec, NM 87410
  • Reassigned Medicare billing, New Mexico enrollment
  • 368 clinicians in this Medicare group
NPI 1861467433 (505) 334-3404

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 3

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 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.
96 services91 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12550 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

Other Providers at the Same Location NPPES

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

ALBERT P HIRDT DO PC
Clinic/Center (Medical Specialty)
4 VICTORY CT
NEWBURGH, NY 12550
Orange County (845) 565-9886

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 Venkatesha Reddy's NPI number?

The NPI number for Venkatesha Reddy is 1245218817. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Venkatesha Reddy located?

Venkatesha Reddy practices at 4 Victory Ct, Newburgh, NY 12550. The listed phone number is (845) 565-2477.

What is Venkatesha Reddy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Venkatesha Reddy enrolled in Medicare?

Yes. Venkatesha 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 Venkatesha Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Venkatesha Reddy reassigns Medicare benefits to 3 organizations: Optum Medical Care, P.C. (Mount Kisco, NY), Cumberland County Hospital System Inc (Dunn, NC) and San Juan Regional Medical Center Inc (Aztec, NM). 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 Venkatesha Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Venkatesha Reddy accept?

Health plans from Antidote Health Plan of Arizona, Inc. and Cigna Healthcare list Venkatesha 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.

When was this NPI record last updated?

The NPPES record for Venkatesha Reddy was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.