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SANDHYA H REDDY MD
NPI 1245684802
Internal Medicine in Visalia, CA

Active since April 20, 2016PECOS Enrolled
77.48/100
CMS Quality Rating
400 W MINERAL KING AVE, VISALIA, CA 93291(559) 624-2000 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2020, May 26, 2020 (2 updates tracked since 2020).

About Sandhya H Reddy Md NPPES

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

SANDHYA H REDDY MD (NPI 1245684802) is an individual internal medicine provider in Visalia, California, licensed in California (A161327) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245684802
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSANDHYA H REDDYCredential: MD
Location Address400 W MINERAL KING AVEVisalia, CA 93291-6237
Mailing Address17722 Road 224Porterville, CA 93257-9394 · (559) 544-7245
Phone(559) 624-2000
Sole ProprietorNo
Enumeration DateApril 20, 2016
Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
✔ NPI 1245684802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A161327
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
400 W MINERAL KING AVE, Visalia, CA 93291
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandhya H Reddy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sandhya Reddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Hospitalist Medical Group, Inc
0.3 mi
Hospitalist
400 W MINERAL KING AVE
Visalia, CA 93291
  • Reassigned Medicare billing, California enrollment
  • 73 clinicians in this Medicare group
NPI 1790925071 (559) 429-4781

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 5

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.

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.
351 services138 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.
123 services108 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
116 services107 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
91 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

77.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.81
Improvement Activities40
Cost50.6

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.

STEPHANIE SONGEY
Emergency Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000
GURSHARNJIT KAUR M.D.
Family Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-4820
GEORGE J MOUSSALLY MSN,ACNP-BC,CCRN
Nurse Practitioner (Acute Care)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000
DR. MATTHEW KIM M.D.
Hospitalist
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2207
VAN NANCY TRINH DO
Anesthesiology
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-6999
STEVEN ANDREW PLATO II M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2732
MS. DANA MARIE PAULSEN CRNA
Nurse Anesthetist, Certified Registered
400 W MINERAL KING AVE, KAWEAH DELTA MEDICAL CENTER
VISALIA, CA 93291
Tulare County (559) 624-2000
HEIDI KRISTEL CORBETT
Social Worker (Clinical)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000

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 Sandhya Reddy's NPI number?

The NPI number for Sandhya Reddy is 1245684802. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Sandhya Reddy located?

Sandhya Reddy practices at 400 W Mineral King Ave, Visalia, CA 93291. The listed phone number is (559) 624-2000.

What is Sandhya Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandhya Reddy enrolled in Medicare?

Yes. Sandhya Reddy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandhya Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandhya Reddy reassigns Medicare benefits to Valley Hospitalist Medical Group, Inc (Visalia, CA). The 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 Sandhya Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sandhya Reddy was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.