1. Home
  2. Directory
  3. California
  4. San Diego
  5. Pediatrics
  6. NPI Profile

MRS. JYOTHI J REDDY MD
NPI 1306869300
Pediatrics in San Diego, CA

Active since July 25, 2006PECOS Enrolled
4060 FAIRMOUNT AVE., PEDIATRICS DEPARTMENT, SAN DIEGO, CA 92105(619) 255-9154(619) 795-9847 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2023, Feb 10, 2023 (2 updates tracked since 2023).

About Mrs. Jyothi J Reddy Md NPPES

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

MRS. JYOTHI J REDDY MD (NPI 1306869300) is an individual pediatrics provider in San Diego, California, licensed in California (C144069) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306869300
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. JYOTHI J REDDYCredential: MD
Location Address4060 FAIRMOUNT AVE., PEDIATRICS DEPARTMENTSan Diego, CA 92105
Mailing Address4060 Fairmount Ave, PediatricsSan Diego, CA 92105 · (619) 255-9154 · Fax (619) 795-9847
Phone(619) 255-9154
Fax(619) 795-9847
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1306869300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · C144069✔ Licensed in TX · G2825
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4060 FAIRMOUNT AVE., San Diego, CA 92105
Open in Google Maps ↗

Other Identifiers 2

Other25622The American Board Of Pediatrics
Medicaid133349408TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jyothi J Reddy 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92105 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES

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

MS. EVA GALVAN LMFT
Marriage & Family Therapist
4060 FAIRMOUNT AVE.
SAN DIEGO, CA 92105
San Diego County (619) 564-8765

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 Jyothi Reddy's NPI number?

The NPI number for Jyothi Reddy is 1306869300. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Jyothi Reddy located?

Jyothi Reddy practices at 4060 Fairmount Ave. Pediatrics Department, San Diego, CA 92105. The listed phone number is (619) 255-9154.

What is Jyothi Reddy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jyothi Reddy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jyothi Reddy was last updated on February 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.