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DWARAKNATH PONNALUR REDDY M.D.
NPI 1417964917
Internal Medicine - Gastroenterology in Upland, CA

Active since August 01, 2006PECOS Enrolled
811 E 11TH ST, SUITE 208, UPLAND, CA 91786(909) 629-5540(909) 946-3070 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dwaraknath Ponnalur Reddy M.d. NPPES

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

DWARAKNATH PONNALUR REDDY M.D. (NPI 1417964917) is an individual gastroenterology provider in Upland, California, licensed in California (A34093) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417964917
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDWARAKNATH PONNALUR REDDYCredential: M.D.
Location Address811 E 11TH ST, SUITE 208Upland, CA 91786-4871
Mailing Address811 E 11th St, Suite 208Upland, CA 91786-4871 · (909) 629-5540 · Fax (909) 946-3070
Phone(909) 629-5540
Fax(909) 946-3070
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417964917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A34093
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
811 E 11TH ST, Upland, CA 91786
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIND34043CA
Medicare ID-Type Unspecified00A340930CA
Medicaid00A340931CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dwaraknath Ponnalur 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 Reassignment

Medicare enrollment records show Dwaraknath Reddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chaparral Medical Group Inc.
0.3 mi
Cardiovascular Disease
914 W FOOTHILL BLVD STE A
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
NPI 1639869605 (909) 285-6717

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 91786 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 7

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

DR. WILLIAM B. MCLEOD M.D.
Obstetrics & Gynecology
811 E 11TH ST, SUITE 104
UPLAND, CA 91786
San Bernardino County (909) 626-7486
DR. ANGELINA PIK YIN CHENG MD
Specialist
811 E 11TH ST, SUITE 102
UPLAND, CA 91786
San Bernardino County (909) 985-0883
ROMEO SAMOUH M.D.
Family Medicine
811 E 11TH ST, STE 102
UPLAND, CA 91786
San Bernardino County (909) 360-8737
DWARAKNATH P. REDDY, M.D.
Internal Medicine (Gastroenterology)
811 E 11TH ST, SUITE 208
UPLAND, CA 91786
San Bernardino County (909) 629-5540
DR. MIRA BHARAT JOSHI M.D.
Pediatrics
811 E 11TH ST, STE 102
UPLAND, CA 91786
San Bernardino County (909) 985-0883
DAVID ISAMI IGARASHI
Pharmacy
811 E 11TH ST, SUITE 201
UPLAND, CA 91786
San Bernardino County (909) 981-8818
JONARDI HANDOKO MD
Internal Medicine (Nephrology)
811 E 11TH ST, STE 206
UPLAND, CA 91786
San Bernardino County (909) 931-3727

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 Dwaraknath Reddy's NPI number?

The NPI number for Dwaraknath Reddy is 1417964917. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Dwaraknath Reddy located?

Dwaraknath Reddy practices at 811 E 11th St Suite 208, Upland, CA 91786. The listed phone number is (909) 629-5540.

What is Dwaraknath Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Dwaraknath Reddy enrolled in Medicare?

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

Which organization bills Medicare for Dwaraknath Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dwaraknath Reddy reassigns Medicare benefits to Chaparral Medical Group Inc. (Upland, CA). The 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 Dwaraknath 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 Dwaraknath Reddy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.