DR. SUSHMA REDDY MD
NPI 1427044981
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fort Gratiot, MI
About Dr. Sushma Reddy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSHMA REDDY MD (NPI 1427044981) is an endocrinology, diabetes & metabolism provider in Fort Gratiot, Michigan, licensed in Michigan (4301049962) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated February 18, 2021.
NPPES Registry Identity
★ Primary Specialty
Internal Medicine · Endocrinology, Diabetes & Metabolism
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as… Show more
Also on File with NPPES
1107400641 (Other, MI, Blue Cross Blue Shield)
2750251 (Medicaid, MI)
Medicare Participation & PECOS Enrollment Status
Sushma 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: Durable Medical Equipment (DME) 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
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
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 48059 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.15
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427044981, enumerated as an "individual" on September 21, 2005.
The provider is located at 5744 LAKESHORE RD FORT GRATIOT, MI 48059 and the phone number is (586) 871-0473.
Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.
The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.
