SHYLA REDDY MD
NPI 1295774305
Family Medicine - Geriatric Medicine in Alpharetta, GA

Q: What is Shyla Reddy's NPI number?

The NPI number for Shyla Reddy is 1295774305. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Shyla Reddy's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Shyla Reddy was last updated on November 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment

92.26/100

CMS Quality Rating

480 N MAIN ST STE 202, ALPHARETTA, GA 30009(678) 619-1974(678) 619-1975 Get Directions Write a Review

NPPES record last updated: November 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Shyla Reddy Md NPPES

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

SHYLA REDDY MD (NPI 1295774305) is an individual geriatric medicine provider in Alpharetta, Georgia, licensed in Alabama (25425) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1295774305

Entity TypeIndividualFemale

Primary Taxonomy207QG0300X

Provider Legal NameSHYLA REDDYCredential: MD

Location Address480 N MAIN ST STE 202Alpharetta, GA 30009-8386

Mailing AddressPo Box 1385, P O Box 1385Alpharetta, GA 30009-1385 · (678) 619-1974 · Fax (678) 619-1975

Phone(678) 619-1974

Fax(678) 619-1975

Sole ProprietorYes

Medical School CMSOtherGraduated 1993

Enumeration DateJune 5, 2006

Last NPPES UpdateNovember 10, 2014

✔ NPI 1295774305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Licenses✔ Licensed in AL · 25425✔ Licensed in GA · 71622

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

480 N MAIN ST STE 202, Alpharetta, GA 30009

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Other Identifiers 12

Medicare ID-Type Unspecified051518001AL

Medicare ID-Type UnspecifiedP00109296AL · Railroad Pgba

Medicaid003148835AGA

Medicaid1167568LA

Medicaid268099800FL

Medicare UPINH95447

Other202I085489GA · Medicare Ptan

Medicaid01778200MS

Other01-12861AL · United Health Care

Other51518001AL · Blue Cross

Other51538045AL · Blue Cross

Medicaid009932265AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Shyla Reddy Md 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 ID9032248356

PECOS Enrollment IDI20140916002827

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 16

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

531 services83 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

183 services170 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

177 services169 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

173 services92 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.

171 services90 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

143 services111 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

99 services55 patients

Advance care planning, first 30 minutes 99497

68 services66 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

61 services51 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.

46 services39 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

33 services33 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

30 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

26 services25 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

21 services17 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number110198

Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30009 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

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

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

41%106 patients2/55-star benchmark: 93%

Cervical Cancer Screening

62%208 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

12%78 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

23%189 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

64%152 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

0%47 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

38%47 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

79%4,624 patients3/55-star benchmark: 100%

e-Prescribing

84%548 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

12%921 patients1/55-star benchmark: 100%

HIV Screening

6%308 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

35%851 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

38%1,529 patients3/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

54%486 patients3/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 5% · 874 patients

Patients totalRate: 8% · 936 patients

4%936 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers25 claims46 services$6.17 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers31 claims1,740 services$7.10 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197

DME-Medical/Surgical Supplies · category DA023N

2 suppliers14 claims525 services$15.93 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

1 supplier14 claims594 services$0.92 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

5 suppliers11 claims11 services$42.59 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

3 suppliers11 claims11 services$49.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 4

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

KIMBERLY EUBANKS FNP

Nurse Practitioner (Family)

480 N MAIN ST STE 202
ALPHARETTA, GA 30009

Fulton County (678) 433-9735

ALPHA FAMILY MEDICINE INC

Clinic/Center (Primary Care)

480 N MAIN ST STE 202
ALPHARETTA, GA 30009

Fulton County (678) 619-1974

REGINA DAVIS NP

Nurse Practitioner (Family)

480 N MAIN ST STE 202
ALPHARETTA, GA 30009

Fulton County (678) 619-1974

BARIVURE MONKPE FNP

Nurse Practitioner (Family)

480 N MAIN ST STE 202
ALPHARETTA, GA 30009

Fulton County (678) 619-1974

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 Shyla Reddy's NPI number?

The NPI number for Shyla Reddy is 1295774305. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Shyla Reddy located?

Shyla Reddy practices at 480 N Main St Ste 202, Alpharetta, GA 30009. The listed phone number is (678) 619-1974.

What is Shyla Reddy's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Shyla Reddy enrolled in Medicare?

Yes. Shyla 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 Shyla Reddy accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shyla 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 Shyla Reddy affiliated with any hospitals?

According to CMS data, Shyla Reddy is affiliated with Northside Hospital Cherokee, Northside Hospital and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Shyla Reddy was last updated on November 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.