MAHENDER M REDDY MD INC
NPI 1336461763
Internal Medicine - Geriatric Medicine in Hudson, FL
About Mahender M Reddy Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAHENDER M REDDY MD INC (NPI 1336461763) is a healthcare organization registered as a geriatric medicine in Hudson, Florida and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through September 10, 2028 and lists Nancy A Welling, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mahender M Reddy Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mahender M Reddy MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0977917
Mahener M Reddy MD PA · Hudson, FLFrequently 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 Mahender M Reddy MD Inc's NPI number?
The NPI number for Mahender M Reddy MD Inc is 1336461763. It was assigned to this organization in the NPPES registry on February 26, 2010.
Where is Mahender M Reddy MD Inc located?
Mahender M Reddy MD Inc is located at 7330 State Road 52, Hudson, FL 34667. The listed phone number is (727) 862-9470.
What is Mahender M Reddy MD Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Mahender M Reddy MD Inc enrolled in Medicare?
Yes. Mahender M Reddy MD Inc is registered in the Medicare PECOS enrollment system.
When is Mahender M Reddy MD Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mahender M Reddy MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mahender M Reddy MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mahender M Reddy MD Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0977917) is associated with this NPI, valid through September 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mahender M Reddy MD Inc was last updated on February 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mahender M Reddy Md Inc · NPI 1336461763
Geriatric Medicine organization in Hudson, Florida. Organization record, active in the CMS NPPES registry since February 26, 2010.
## Identity
- **NPI:** 1336461763 (Entity type: Organization)
- **Enumerated:** February 26, 2010
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **Organization subpart:** No
- **Authorized official:** Nancy Welling, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 7330 STATE ROAD 52, Hudson, FL 34667-6711
- **Phone:** (727) 862-9470 · **Fax:** (727) 862-6489
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2010
- **Other identifiers:** Medicaid 378212300 (FL); Medicare PIN 27515A (FL); Medicare UPIN G10234 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336461763) · Data from the CMS NPPES public registry.