DR. VAISHALI ERAGAM REDDY DO
NPI 1255894960
Internal Medicine in Johns Creek, GA

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
6325 HOSPITAL PKWY, JOHNS CREEK, GA 30097(678) 474-7000 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2022, Apr 9, 2019 (2 updates tracked since 2019).

About Dr. Vaishali Eragam Reddy Do NPPES

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

DR. VAISHALI ERAGAM REDDY DO (NPI 1255894960) is an individual internal medicine provider in Johns Creek, Georgia, licensed in Georgia (92482) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1255894960
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. VAISHALI ERAGAM REDDYCredential: DO
Location Address6325 HOSPITAL PKWYJohns Creek, GA 30097-5775
Mailing Address305 Falls Point TrlAlpharetta, GA 30022-8479 · (770) 346-0024
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2019
Enumeration DateApril 9, 2019
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
NPI 1255894960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 92482
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.

6325 HOSPITAL PKWY, Johns Creek, GA 30097

Secondary Practice Location 1

Location 1720 Westview Dr SWAtlanta, GA 30310-1458 · Phone (404) 752-1500

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. Vaishali Eragam Reddy Do 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 ID8628445152
PECOS Enrollment IDI20221112000037
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 4

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 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.
485 services230 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
157 services155 patients
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.
109 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 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

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.

Specialist/Technologist, Other (Surgical Assistant)
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097
Hospitalist
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097
Emergency Medicine
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097
Anesthesiology (Critical Care Medicine)
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097
Registered Nurse
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097
Obstetrics & Gynecology
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097
Nurse Anesthetist, Certified Registered
6325 HOSPITAL PKWY, EMORY JOHNS CREEK HOSP
JOHNS CREEK, GA 30097
Family Medicine
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097

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 Vaishali Reddy's NPI number?

The NPI number for Vaishali Reddy is 1255894960. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Vaishali Reddy located?

Vaishali Reddy practices at 6325 Hospital Pkwy, Johns Creek, GA 30097. The listed phone number is (678) 474-7000.

What is Vaishali Reddy's specialty?

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

Is Vaishali Reddy enrolled in Medicare?

Yes. Vaishali 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.

Is Vaishali Reddy affiliated with any hospitals?

According to CMS data, Vaishali Reddy is affiliated with Emory University Hospital Midtown and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Vaishali Reddy was last updated on August 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.