THANMAYA GADDAM REDDY M.D.
NPI 1265799332
Urology in Atlanta, GA

Active since April 13, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322(404) 778-4615 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 11, 2017 (3 updates tracked since 2017).

About Thanmaya Gaddam Reddy M.d. NPPES

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

THANMAYA GADDAM REDDY M.D. (NPI 1265799332) is an individual urology provider in Atlanta, Georgia, licensed in Georgia (077899) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Medical City Dallas Hospital, and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1265799332
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameTHANMAYA GADDAM REDDYCredential: M.D.
Location Address1365 CLIFTON RD NE BLDG BAtlanta, GA 30322-1900
Mailing Address1365 Clifton Road Ne, Clinic Building B Suite B1400Atlanta, GA 30322-1013 · (404) 778-4615
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2012
Enumeration DateApril 13, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1265799332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in GA · 077899 Licensed in AL · 32625
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1365 CLIFTON RD NE BLDG B, Atlanta, GA 30322

Secondary Practice Location 1

Location 1619 19th St SBirmingham, AL 35249-1900 · Phone (205) 934-3065

Accepted Insurance

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

Thanmaya Gaddam 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 ID8729238514
PECOS Enrollment IDI20220826001697
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 13

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
286 services160 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.
166 services94 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
124 services66 patients
Bacterial urine culture 87088
A bacterial urine culture is a laboratory test that checks for bacteria in your urine. It helps identify the type of bacteria causing an infection, enabling the selection of the most effective treatment. The test involves collecting a urine sample in a sterile container.
118 services50 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
116 services88 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services57 patients

Hospital Affiliations CMS Care Compare 2

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

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450647
Location7777 Forest LaneDallas, TX 75230 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450890
Location4700 Alliance BoulevardPlano, TX 75093 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

Optometrist
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Genetic Counselor, MS
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Genetic Counselor, MS
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Nurse Practitioner (Primary Care)
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Internal Medicine (Nephrology)
1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC - NEPHROLOGY
ATLANTA, GA 30322
Physician Assistant
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Nurse Practitioner (Pediatrics)
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Surgery
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322

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 Thanmaya Reddy's NPI number?

The NPI number for Thanmaya Reddy is 1265799332. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Thanmaya Reddy located?

Thanmaya Reddy practices at 1365 Clifton Rd NE Bldg B, Atlanta, GA 30322. The listed phone number is (404) 778-4615.

What is Thanmaya Reddy's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Thanmaya Reddy enrolled in Medicare?

Yes. Thanmaya 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.

What insurance does Thanmaya Reddy accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Thanmaya 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 Thanmaya Reddy affiliated with any hospitals?

According to CMS data, Thanmaya Reddy is affiliated with Medical City Dallas Hospital and Baylor Scott & White Medical Center Plano.

When was this NPI record last updated?

The NPPES record for Thanmaya Reddy was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.