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DR. SUJATHA REDDY MD
NPI 1386600625
Internal Medicine in Tucson, AZ

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741(520) 469-8011 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2020, Oct 5, 2018 (2 updates tracked since 2018).

About Dr. Sujatha Reddy Md NPPES

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

DR. SUJATHA REDDY MD (NPI 1386600625) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (24578) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mankato, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1386600625
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUJATHA REDDYCredential: MD
Location Address6200 N LA CHOLLA BLVDTucson, AZ 85741-3529
Mailing Address6200 N La Cholla BlvdTucson, AZ 85741-3529 · (520) 469-8011
Phone(520) 469-8011
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateApril 25, 2006
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1386600625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 24578
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6200 N LA CHOLLA BLVD, Tucson, AZ 85741
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Secondary Practice Location 1

Location 11025 Marsh StMankato, MN 56001-4752 · Phone (507) 625-4031

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sujatha 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 ID2961452578
PECOS Enrollment IDI20050131000739
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

5

Medicare enrollment records show Sujatha Reddy reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Hbp Medical Services LLC
Same address
Emergency Medicine
6200 N LA CHOLLA BLVD
Tucson, AZ 85741
  • Reassigned Medicare billing, Arizona enrollment
  • 664 clinicians in this Medicare group
NPI 1407353006 (520) 229-2657
Northwest Allied Physicians LLC
0.2 mi
General Practice
6060 N FOUNTAIN PLAZA DR STE 270
Tucson, AZ 85704
  • Reassigned Medicare billing, Arizona enrollment
  • 296 clinicians in this Medicare group
NPI 1003833179 (520) 229-2578
Cogent Healthcare Of Arizona PC
70 mi
Internal Medicine
5700 E HIGHWAY 90
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 372 clinicians in this Medicare group
NPI 1568758266 (520) 417-4594
Southeastern Physician Services PC
1,549 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Hospital Physician Services - Southeast Professional Corporation
1,581 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Georgia enrollment
  • 777 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461

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

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
207 services94 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
104 services60 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
66 services65 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85741 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
90%88 patients4/55-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.

ELLEN MARIE KULESA CRNA
Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
ALEXIS JIMENEZ DO
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
EMMANUEL ASLAN GALLEGOS
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
DR. DAVID M SCHWARTZ DO
Internal Medicine
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 469-8011
PAMELA D LOWE APRN, ACNPC-AG
Nurse Practitioner (Acute Care)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
ERIC STANLEY CRNA
Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
CAMERON TAYLOR FRICKE BSN RN
Registered Nurse (Critical Care Medicine)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
JULIE TAMAYO DO
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000

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 Sujatha Reddy's NPI number?

The NPI number for Sujatha Reddy is 1386600625. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Sujatha Reddy located?

Sujatha Reddy practices at 6200 N La Cholla Blvd, Tucson, AZ 85741. The listed phone number is (520) 469-8011.

What is Sujatha Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sujatha Reddy enrolled in Medicare?

Yes. Sujatha 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.

Which organizations bill Medicare for Sujatha Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sujatha Reddy reassigns Medicare benefits to 5 organizations: Northwest Hbp Medical Services LLC (Tucson, AZ), Northwest Allied Physicians LLC (Tucson, AZ), Cogent Healthcare Of Arizona PC (Sierra Vista, AZ), Southeastern Physician Services PC (Oak Ridge, TN) and Hospital Physician Services - Southeast Professional Corporation (Monroe, GA). 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 Sujatha Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sujatha Reddy accept?

Health plans from Oscar Insurance Company list Sujatha 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.

When was this NPI record last updated?

The NPPES record for Sujatha Reddy was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.