DR. KEERTHI REDDY PADOORU MD
NPI 1255713616
Hospitalist in Decatur, GA

Active since June 22, 2015PECOS Enrolled
92.26/100
CMS Quality Rating
3805 COVINGTON HWY, DECATUR, GA 30032(404) 383-1300 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2020, Jul 15, 2020, Jun 25, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Keerthi Reddy Padooru Md NPPES

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

DR. KEERTHI REDDY PADOORU MD (NPI 1255713616) is an individual hospitalist provider in Decatur, Georgia, licensed in Georgia (86441) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Johns Creek.

NPPES Registry Identity

NPI1255713616
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. KEERTHI REDDY PADOORUCredential: MD
Location Address3805 COVINGTON HWYDecatur, GA 30032-2643
Mailing Address6325 Hospital PkwyJohns Creek, GA 30097-5775 · (678) 474-7038 · Fax (678) 474-7033
Sole ProprietorNo
Enumeration DateJune 22, 2015
Last NPPES UpdateJune 29, 20265 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1255713616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 86441
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 86441 (GA)
3805 COVINGTON HWY, Decatur, GA 30032

Secondary Practice Location 1

Location 16325 Hospital PkwyJohns Creek, GA 30097-5775 · Phone (678) 474-7038 · Fax (678) 474-7033

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keerthi Reddy Padooru 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 Reassignments

2

Medicare enrollment records show Keerthi Padooru reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Specialist
1395 NW 167TH ST
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Georgia enrollment
  • 65 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30032 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers21 claims21 services$15.41 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 suppliers41 claims41 services$62.93 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims20 services$26.98 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 3

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

Internal Medicine
3805 COVINGTON HWY
DECATUR, GA 30032
Internal Medicine
3805 COVINGTON HWY
DECATUR, GA 30032
Non-Pharmacy Dispensing Site
3805 COVINGTON HWY
DECATUR, GA 30032

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 Keerthi Padooru's NPI number?

The NPI number for Keerthi Padooru is 1255713616. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Keerthi Padooru located?

Keerthi Padooru practices at 3805 Covington Hwy, Decatur, GA 30032. The listed phone number is (404) 383-1300.

What is Keerthi Padooru's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Keerthi Padooru enrolled in Medicare?

Yes. Keerthi Padooru is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Keerthi Padooru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keerthi Padooru reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Pmr Georgia Holding, LLC (Miami Gardens, FL). 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 Keerthi Padooru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keerthi Padooru accept?

Health plans from Oscar Health list Keerthi Padooru 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 Keerthi Padooru was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.