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SUNITA M REDDY MD
NPI 1326003781
Obstetrics & Gynecology in Kettering, OH

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3533 SOUTHERN BLVD, STE 4600, KETTERING, OH 45429(937) 296-0167(937) 297-2330 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Apr 22, 2022 (2 updates tracked since 2022).

About Sunita M Reddy Md NPPES

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

SUNITA M REDDY MD (NPI 1326003781) is an individual obstetrics & gynecology provider in Kettering, Ohio, licensed in Ohio (35071624R) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1326003781
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSUNITA M REDDYCredential: MD
Location Address3533 SOUTHERN BLVD, STE 4600Kettering, OH 45429-1273
Mailing Address3533 Southern Blvd, Ste 4600Kettering, OH 45429-1273 · (937) 296-0167 · Fax (937) 297-2330
Phone(937) 296-0167
Fax(937) 297-2330
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateApril 19, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedApril 22, 2022
✔ NPI 1326003781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35071624R
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3533 SOUTHERN BLVD, Kettering, OH 45429
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Other Identifiers 2

Medicaid2109935OH
Other000000009391Anthem Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Sunita M 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 ID6305960360
PECOS Enrollment IDI20100827000686
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 5

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
70 services70 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.
64 services53 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
32 services32 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.
22 services20 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%36 patients5/55-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.

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.

DR. CAROL JOANNE SAWMILLER M.D.
Surgery
3533 SOUTHERN BLVD, SUITE 2250
KETTERING, OH 45429
Montgomery County (937) 534-0330
MIAMI VALLEY UROLOGY
Specialist
3533 SOUTHERN BLVD, STE 3450
KETTERING, OH 45429
Montgomery County (937) 293-0008
DR. JALEH ESLAMI M.D.
Plastic Surgery
3533 SOUTHERN BLVD, SUITE 4300
KETTERING, OH 45429
Montgomery County (937) 395-8454
CHRISTA SIEBENBURGEN M.D.
Surgery
3533 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Montgomery County (937) 395-8556
DR. DAVID L TIBBITS M.D.
Anesthesiology
3533 SOUTHERN BLVD, STE 3400
KETTERING, OH 45429
Montgomery County (937) 293-8228
NICHOLAS A DONINGER PH.D
Clinical Neuropsychologist
3533 SOUTHERN BLVD, SUITE 5200
KETTERING, OH 45429
Montgomery County (937) 395-8043
SOUTHWEST CARDIOLOGY INC
Internal Medicine (Cardiovascular Disease)
3533 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Montgomery County (937) 293-3486
RAGAVAN NARAYANAN M.D.
Surgery (Surgical Critical Care)
3533 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Montgomery County (937) 395-8556

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 Sunita Reddy's NPI number?

The NPI number for Sunita Reddy is 1326003781. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Sunita Reddy located?

Sunita Reddy practices at 3533 Southern Blvd Ste 4600, Kettering, OH 45429. The listed phone number is (937) 296-0167.

What is Sunita Reddy's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sunita Reddy enrolled in Medicare?

Yes. Sunita 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 Sunita Reddy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Sunita 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 Sunita Reddy affiliated with any hospitals?

According to CMS data, Sunita Reddy is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Sunita Reddy was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.