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DR. SANDEEP K REDDY M.D.
NPI 1275601775
Specialist in El Segundo, CA

Active since December 01, 2006PECOS Enrolled
2040 E MARIPOSA AVE, EL SEGUNDO, CA 90245(213) 266-5600(213) 477-2344 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sandeep K Reddy M.d. NPPES

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

DR. SANDEEP K REDDY M.D. (NPI 1275601775) is an individual specialist in El Segundo, California, licensed in California (A65510) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275601775
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. SANDEEP K REDDYCredential: M.D.
Location Address2040 E MARIPOSA AVEEl Segundo, CA 90245
Mailing Address2040 E Mariposa AveEl Segundo, CA 90245-5027 · (213) 266-5600 · Fax (213) 477-2344
Phone(213) 266-5600
Fax(213) 477-2344
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 26, 2018
✔ NPI 1275601775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A65510
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License A65510 (CA)
2040 E MARIPOSA AVE, El Segundo, CA 90245
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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)

Dr. Sandeep K Reddy M.d. 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 Sandeep Reddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Immuno-Oncology Clinic Inc.
Same address
Medical Oncology
2040 E MARIPOSA AVE
El Segundo, CA 90245
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1215463799 (213) 266-5600
County Of Los Angeles
3.3 mi
Public Health, State or Local
123 W MANCHESTER BLVD
Inglewood, CA 90301
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
NPI 1346435781 (310) 419-5325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

DR. JOHN H LEE MD
Otolaryngology
2040 E MARIPOSA AVE
EL SEGUNDO, CA 90245
Los Angeles County (213) 266-5600
IMMUNO-ONCOLOGY CLINIC INC.
Internal Medicine (Medical Oncology)
2040 E MARIPOSA AVE
EL SEGUNDO, CA 90245
Los Angeles County (213) 266-5600
ONSITE LABORATORIES, LLC
Clinical Medical Laboratory
2040 E MARIPOSA AVE
EL SEGUNDO, CA 90245
Los Angeles County (866) 522-5467
JAMIE LATIOLAIS TAYLOR M.D.
Anesthesiology
2040 E MARIPOSA AVE
EL SEGUNDO, CA 90245
Los Angeles County (310) 400-0645
KATAYOUN MOINI PA
Physician Assistant
2040 E MARIPOSA AVE
EL SEGUNDO, CA 90245
Los Angeles County (213) 266-5600
MISS ELISE L. DINER P.A.-C
Physician Assistant
2040 E MARIPOSA AVE
EL SEGUNDO, CA 90245
Los Angeles County (310) 400-0645
DR. LEONARD S SENDER MD
Pediatrics (Pediatric Hematology-Oncology)
2040 E MARIPOSA AVE
EL SEGUNDO, CA 90245
Los Angeles County (213) 266-5600

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 Sandeep Reddy's NPI number?

The NPI number for Sandeep Reddy is 1275601775. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Sandeep Reddy located?

Sandeep Reddy practices at 2040 E Mariposa Ave, El Segundo, CA 90245. The listed phone number is (213) 266-5600.

What is Sandeep Reddy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sandeep Reddy enrolled in Medicare?

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

Which organizations bill Medicare for Sandeep Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Reddy reassigns Medicare benefits to 2 organizations: Immuno-Oncology Clinic Inc. (El Segundo, CA) and County Of Los Angeles (Inglewood, CA). 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 Sandeep 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 Sandeep Reddy was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.