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DR. PRATHIMA REDDY M.D.
NPI 1376540187
Pain Medicine - Interventional Pain Medicine in Gainesville, FL

Active since July 07, 2005PECOS Enrolled
6821 NW 11TH PL, GAINESVILLE, FL 32605(352) 331-3353(352) 333-9035 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Prathima Reddy M.d. NPPES

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

DR. PRATHIMA REDDY M.D. (NPI 1376540187) is an individual interventional pain medicine provider in Gainesville, Florida, licensed in Florida (ME76862) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376540187
Entity TypeIndividualFemale
Primary Taxonomy208VP0014X
Provider Legal NameDR. PRATHIMA REDDYCredential: M.D.
Location Address6821 NW 11TH PLGainesville, FL 32605-4216
Mailing Address5365 W Atlantic Ave Ste 504Delray Beach, FL 33484-8194 · (561) 241-9300 · Fax (561) 241-9339
Phone(352) 331-3353
Fax(352) 333-9035
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateApril 11, 2017
✔ NPI 1376540187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in FL · ME76862
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License ME76862 (FL)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License ME76862 (FL)
6821 NW 11TH PL, Gainesville, FL 32605
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Other Identifiers 5

Medicare PIN44509UFL
Medicare PIN44509TFL
Medicare NSC0294090001FL
Medicare UPING80326FL
Medicaid255169100FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prathima Reddy M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Prathima Reddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

National Surgical Centers Of America LLC
56 mi
Ambulatory Surgical
13945 N US HIGHWAY 441
Lady Lake, FL 32159
NPI 1063853174 (352) 561-2900
Florida Pain And Rehabilitation Associates Inc
88 mi
Neurological Surgery
978 INTERNATIONAL PKWY STE 1440
Lake Mary, FL 32746
  • Reassigned Medicare billing, Florida enrollment
  • 95 clinicians in this Medicare group
NPI 1902486939 (407) 624-5028

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 6

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

DR. SHAFIK N. WASSEF M.D.
Radiology (Diagnostic Radiology)
6821 NW 11TH PL
GAINESVILLE, FL 32605
Alachua County (319) 535-0465
JAMES GERSHOW MD
Otolaryngology
6821 NW 11TH PL
GAINESVILLE, FL 32605
Alachua County (352) 331-6700
INTERVENTIONAL MEDICAL ASSOCIATES LLC
Specialist
6821 NW 11TH PL
GAINESVILLE, FL 32605
Alachua County (352) 331-3353
MAMMOCARE, LLC
Radiology (Diagnostic Radiology)
6821 NW 11TH PL
GAINESVILLE, FL 32605
Alachua County (352) 999-3553
FLORIDA PAIN & REHABILITATION INSTITUTE INC
Pain Medicine (Interventional Pain Medicine)
6821 NW 11TH PL
GAINESVILLE, FL 32605
Alachua County (352) 331-3353
LAKE AREA PHYSICAL THERAPY INC
Physical Therapist
6821 NW 11TH PL
GAINESVILLE, FL 32605
Alachua County (352) 475-3113

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 Prathima Reddy's NPI number?

The NPI number for Prathima Reddy is 1376540187. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Prathima Reddy located?

Prathima Reddy practices at 6821 NW 11th Pl, Gainesville, FL 32605. The listed phone number is (352) 331-3353.

What is Prathima Reddy's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Prathima Reddy enrolled in Medicare?

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

Which organizations bill Medicare for Prathima Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prathima Reddy reassigns Medicare benefits to 2 organizations: National Surgical Centers Of America LLC (Lady Lake, FL) and Florida Pain And Rehabilitation Associates Inc (Lake Mary, FL). Each 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 Prathima Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Prathima Reddy was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.