AJAY K REDDY MD
NPI 1366654865
Internal Medicine - Cardiovascular Disease in Elkhorn, WI

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment
W3985 COUNTY ROAD NN, ELKHORN, WI 53121(262) 741-2000 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ajay K Reddy Md NPPES

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

AJAY K REDDY MD (NPI 1366654865) is an individual cardiovascular disease provider in Elkhorn, Wisconsin, licensed in Wisconsin (2089) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Presence Saints Mary And Elizabeth Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1366654865
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameAJAY K REDDYCredential: MD
Location AddressW3985 COUNTY ROAD NNElkhorn, WI 53121-4337
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 325-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 4, 2007
Last NPPES UpdateApril 25, 2024
NPPES CertifiedApril 25, 2024
NPI 1366654865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in WI · 2089 Licensed in IL · 036-126185
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
W3985 COUNTY ROAD NN, Elkhorn, WI 53121

Other Identifiers 1

Medicaid100205109WI

Accepted 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

Ajay K 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 ID1153454210
PECOS Enrollment IDI20110614000325
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 19

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.

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.
319 services224 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
205 services160 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
123 services123 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.
92 services92 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
76 services76 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
54 services29 patients

Hospital Affiliations CMS Care Compare

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

Presence Saints Mary And Elizabeth Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140180
Location2233 W Division StChicago, IL 60622 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53121 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Student in an Organized Health Care Education/Training Program
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Nurse Anesthetist, Certified Registered
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Nurse Practitioner
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Preventive Medicine (Undersea and Hyperbaric Medicine)
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Hospitalist
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Physical Therapist
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Registered Nurse (Diabetes Educator)
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Pharmacist
W3985 COUNTY ROAD NN
ELKHORN, WI 53121

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 Ajay Reddy's NPI number?

The NPI number for Ajay Reddy is 1366654865. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Ajay Reddy located?

Ajay Reddy practices at W3985 County Road Nn, Elkhorn, WI 53121. The listed phone number is (262) 741-2000.

What is Ajay Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ajay Reddy enrolled in Medicare?

Yes. Ajay 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 Ajay Reddy accept?

Health plans from CareSource list Ajay 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 Ajay Reddy affiliated with any hospitals?

According to CMS data, Ajay Reddy is affiliated with Presence Saints Mary And Elizabeth Medical Center.

When was this NPI record last updated?

The NPPES record for Ajay Reddy was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.