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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MOHAN ETTYREDDY MD
NPI 1407807100
Anesthesiology in Porterville, CA

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
82.05/100
CMS Quality Rating
465 W PUTNAM, PORTERVILLE, CA 93257(559) 784-1110 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Mohan Ettyreddy Md NPPES

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

MR. MOHAN ETTYREDDY MD (NPI 1407807100) is an individual anesthesiology provider in Porterville, California, licensed in California (A82879) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1407807100
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMR. MOHAN ETTYREDDYCredential: MD
Location Address465 W PUTNAMPorterville, CA 93257
Mailing AddressPo Box 7096Stockton, CA 95267 · (209) 956-7725 · Fax (209) 956-7733
Phone(559) 784-1110
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 15, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1407807100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A82879
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
465 W PUTNAM, Porterville, CA 93257
Open in Google Maps ↗

Other Identifiers 2

Other00A828790CA · Bs Of Ca
Medicaid00A828790CA

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

Mr. Mohan Ettyreddy 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 ID1850317686
PECOS Enrollment IDI20221117002691
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 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.

82.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.89
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

PHILIP WARREN EARLY MD A MEDICAL COMP
Anesthesiology
465 W PUTNAM
PORTERVILLE, CA 93257
Tulare County (559) 784-1110
PORTERVILLE COMMUNITY PHYSICIANS INC
Pediatrics
465 W PUTNAM
PORTERVILLE, CA 93257
Tulare County (559) 784-1110
MR. ALEX PRESTON MD
Anesthesiology
465 W PUTNAM
PORTERVILLE, CA 93257
Tulare County (559) 784-1110
MS. RAJESHWARY SWAMIDURAI MD
Anesthesiology
465 W PUTNAM
PORTERVILLE, CA 93257
Tulare County (559) 784-1110

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 Mohan Ettyreddy's NPI number?

The NPI number for Mohan Ettyreddy is 1407807100. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Mohan Ettyreddy located?

Mohan Ettyreddy practices at 465 W Putnam, Porterville, CA 93257. The listed phone number is (559) 784-1110.

What is Mohan Ettyreddy's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Mohan Ettyreddy enrolled in Medicare?

Yes. Mohan Ettyreddy 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.

When was this NPI record last updated?

The NPPES record for Mohan Ettyreddy was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.