GANGADASU REDDY MD, MS
NPI 1366739625
Plastic Surgery - Surgery of the Hand in Omaha, NE

NPI Status: Active since July 06, 2011

Contact Information

601 N 30TH ST
OMAHA, NE
ZIP 68131
Phone: (402) 717-0820
Fax: (402) 717-6061

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  • Individual
  • Male
  • Years of Experience 27
  • Plastic Surgery
  • Surgery of the Hand
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About GANGADASU REDDY

This page provides the complete NPI Profile along with additional information for Gangadasu Reddy, a provider established in Omaha, Nebraska with a medical specialization in Plastic Surgery, focusing in surgery of the hand and more than 27 years of experience. The healthcare provider is registered in the NPI registry with number 1366739625 assigned on July 2011. The practitioner's primary taxonomy code is 2082S0105X with license number 27905 (NE). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1366739625
Provider Name
GANGADASU REDDY MD, MS
Gender
Male
Entity Type
Individual
Location Address
601 N 30TH ST OMAHA, NE 68131
Location Phone
(402) 717-0820
Location Fax
(402) 717-6061
Mailing Address
7261 MERCY RD OMAHA, NE 68124
Mailing Phone
(402) 398-6248
Mailing Fax
(402) 717-6061
Medical School Name
OTHER
Graduation Year
1999
Is Sole Proprietor?
No
Enumeration Date
07-06-2011
Last Update Date
01-28-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery Surgery of the Hand

Taxonomy Code
2082S0105X
Type
Allopathic & Osteopathic Physicians
License No.
27905
License State
NE
Taxonomy Description
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207XS0106XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Hand Surgery

27905 (NE)
22086S0122XAllopathic & Osteopathic Physicians

Surgery
Plastic and Reconstructive Surgery

27905 (NE)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Medica with CHI Health Bronze $0 Copay PCP Visits - EPO
  • Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam - EPO
  • Medica with CHI Health Bronze Premier - EPO
  • Medica with CHI Health Bronze Premier + Adult Eye Exam - EPO
  • Medica with CHI Health Expanded Bronze Standard - EPO
  • Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam - EPO
  • Medica with CHI Health Gold $0 Copay PCP Visits - EPO
  • Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam - EPO
  • Medica with CHI Health Gold Share - EPO
  • Medica with CHI Health Gold Share + Adult Eye Exam - EPO
  • Medica with CHI Health Gold Standard - EPO
  • Bronze Classic - EPO
  • Bronze Classic | with Bryan Health - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | with Bryan Health - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
  • Bronze Simple Diabetes - EPO
  • Bronze Simple Diabetes | with Bryan Health - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | with Bryan Health - EPO
  • Gold Elite - EPO
  • Gold Elite | with Bryan Health - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard | with Bryan Health - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple Diabetes | with Bryan Health - EPO
  • Silver Simple PCP Saver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A104713OTHER (01)CATHE MEDICAL BOARD OF CALIFORNIA

Medicare Participation & PECOS Enrollment Status

Gangadasu Reddy is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Gangadasu Reddy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3779739446

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20140612001015, I20180126001074

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from small joint

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

This service was performed 23 times for 19 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 98 times for 74 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 34 times for 33 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 15 times for 11 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 18 times for 18 patients

Injection into tendon or ligament

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

This service was performed 19 times for 17 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

This service was performed 60 times for 38 patients

Mastectomy

A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.

This service was performed for 1-10 patients

Melanoma (skin cancer) excision

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

This service was performed for 30 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 108 times for 108 patients

Release of wrist ligament using an endoscope

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

This service was performed 23 times for 22 patients

Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device

This treatment involves repairing multiple fractures in the lower forearm near the thumb side of the wrist. A device is placed to stabilize the area, promoting proper healing. This procedure helps restore function and minimize discomfort.

This service was performed 12 times for 12 patients

Upper limb (arm) arthroscopy (minimally invasive joint repair)

Upper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.

This service was performed for 47 patients

X-ray of hand, minimum of 3 views

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

This service was performed 58 times for 37 patients

X-ray of wrist, minimum of 3 views

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

This service was performed 40 times for 20 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.3 for a new patient copayment and $16.5 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 68131 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.2
  • Minimum New Patient Price $52.69
  • Maximum New Patient Price $160.21
  • Average New Patient Copayment $20.3
  • Minimum New Patient Copayment $13.17
  • Maximum New Patient Copayment $40.05

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66
  • Minimum Established Patient Price $16.9
  • Maximum Established Patient Price $131.25
  • Average Established Patient Copayment $16.5
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.81

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gangadasu Reddy is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
CHI HEALTH BERGAN MERCY7500 MERCY RD
OMAHA, NE 68124
(402) 398-6060Acute Care Hospitals
CHI HEALTH IMMANUEL6901 NORTH 72ND ST
OMAHA, NE 68122
(402) 572-2121Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366739625, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 1 + 4 + 3 + 1 + 8 + 6 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1366739625.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
601 N 30TH ST, SUITE 2807
OMAHA, NE 68131
Physician Assistant (Medical)
601 N 30TH ST
OMAHA, NE 68131
Emergency Medicine (Emergency Medical Services)
601 N 30TH ST
OMAHA, NE 68131
Emergency Medicine (Emergency Medical Services)
601 N 30TH ST
OMAHA, NE 68131
Physician Assistant (Medical)
601 N 30TH ST
OMAHA, NE 68131
Physician Assistant (Medical)
601 N 30TH ST
OMAHA, NE 68131
Physician Assistant (Medical)
601 N 30TH ST
OMAHA, NE 68131
Pharmacist
601 N 30TH ST, SUITE 2807
OMAHA, NE 68131
Emergency Medicine (Emergency Medical Services)
601 N 30TH ST
OMAHA, NE 68131
Physician Assistant (Medical)
601 N 30TH ST
OMAHA, NE 68131
Pathology (Anatomic Pathology & Clinical Pathology)
601 N 30TH ST
OMAHA, NE 68131
Pharmacist (Pharmacotherapy)
601 N 30TH ST, SUITE 6720
OMAHA, NE 68131
Emergency Medicine (Emergency Medical Services)
601 N 30TH ST
OMAHA, NE 68131
Anesthesiology
601 N 30TH ST
OMAHA, NE 68131
Radiology (Diagnostic Radiology)
601 N 30TH ST
OMAHA, NE 68131
Radiology (Diagnostic Radiology)
601 N 30TH ST
OMAHA, NE 68131
Pharmacist
601 N 30TH ST, SUITE 2807
OMAHA, NE 68131
Pharmacist
601 N 30TH ST, SUITE 2807
OMAHA, NE 68131
Internal Medicine
601 N 30TH ST
OMAHA, NE 68131
Pathology (Anatomic Pathology & Clinical Pathology)
601 N 30TH ST
OMAHA, NE 68131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366739625, enumerated as an "individual" on July 06, 2011.

The provider is located at 601 N 30TH ST OMAHA, NE 68131 and the phone number is (402) 717-0820.

Plastic Surgery with taxonomy code 2082S0105X and a focus in Surgery of the Hand.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska, Medica,. Please consult your insurance carrier or call the provider to verify.

Gangadasu Reddy is affiliated with: CHI HEALTH BERGAN MERCY and CHI HEALTH IMMANUEL.