SANDEEP PRATAP REDDY M.D.
NPI 1437513322
Radiology - Diagnostic Radiology in Philadelphia, PA

Q: What is Sandeep Reddy's NPI number?

The NPI number for Sandeep Reddy is 1437513322. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Q: What is Sandeep Reddy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Sandeep Reddy was last updated on July 13, 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.

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment

800 SPRUCE ST, PHILADELPHIA, PA 19107(215) 829-6657 Get Directions Write a Review

NPPES record last updated: July 13, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2017, Aug 19, 2016 (2 updates tracked since 2016).

On this page

About Sandeep Pratap Reddy M.d. NPPES

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

SANDEEP PRATAP REDDY M.D. (NPI 1437513322) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT213381) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1437513322

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameSANDEEP PRATAP REDDYCredential: M.D.

Location Address800 SPRUCE STPhiladelphia, PA 19107-6130

Mailing Address800 Spruce StPhiladelphia, PA 19107-6130

Phone(215) 829-6657

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 7, 2016

Last NPPES UpdateJuly 13, 20172 updates tracked since enumeration

✔ NPI 1437513322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in PA · MT213381

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2016022484 (MO)

800 SPRUCE ST, Philadelphia, PA 19107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas and more.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

Sandeep Pratap Reddy M.d. 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 ID648563965

PECOS Enrollment IDI20221216000279, I20230217000813

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

Medicare enrollment records show Sandeep Reddy reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Imaging Centers, P.A.

1,039 mi

Radiology

4801 MAIN ST STE 200
Kansas City, MO 64112

Reassigned Medicare billing, Missouri and Kansas enrollments
Medicare enrollment name: Diagnostic Imaging Centers PA
Also billed through NPI 1366529661 (Kansas)
29 clinicians in this Medicare group

NPI 1497828222 (816) 561-5151

Advanced Radiology Consultants Of Kansas City, PA

1,044 mi

Diagnostic Radiology

12300 METCALF AVE
Overland Park, KS 66213

Reassigned Medicare billing, Kansas and Missouri enrollments
36 clinicians in this Medicare group

NPI 1447800131 (913) 273-0499

Overland Park Surgical Specialties LLC

1,047 mi

Family Medicine

11755 W 112TH ST, SUITE 202
Overland Park, KS 66210

Reassigned Medicare billing, Kansas enrollment
84 clinicians in this Medicare group

NPI 1760798540 (913) 469-0433

Greenwood County Hospital

1,146 mi

Critical Access

100 WEST 16TH ST.
Eureka, KS 67045

Reassigned Medicare billing, Kansas enrollment
47 clinicians in this Medicare group

NPI 1629044961 (620) 583-5274

Wichita Radiological Group Prof Assoc

1,202 mi

Specialist

551 N HILLSIDE ST, SUITE 320
Wichita, KS 67214

Reassigned Medicare billing, Kansas enrollment
35 clinicians in this Medicare group

NPI 1144256447 (316) 685-1367

Ninnescah Valley Health Systems, Inc.

1,232 mi

Critical Access

750 W D AVE
Kingman, KS 67068

Reassigned Medicare billing, Kansas enrollment
Also billed through NPI 1508253501 (Kansas)
42 clinicians in this Medicare group

NPI 1285629956 (620) 532-3147

South Texas Radiology Group PA

1,506 mi

Diagnostic Radiology

COLONNADE I, 9901 IH-10 WEST, SUITE 905
San Antonio, TX 78230

Reassigned Medicare billing, Kansas enrollment
15 clinicians in this Medicare group

NPI 1851368039 (210) 616-7700

Texas Imaging Partners, LLC

1,508 mi

Radiology

4903 GOLDEN QUAIL STE 110
San Antonio, TX 78240

Reassigned Medicare billing, Kansas enrollment
11 clinicians in this Medicare group

NPI 1548076052 (210) 996-2996

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 43

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

557 services506 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

155 services146 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

108 services106 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

104 services103 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

94 services94 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

82 services81 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

81 services81 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

76 services75 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

68 services68 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

58 services58 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

58 services58 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

55 services55 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

49 services45 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

48 services48 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

42 services42 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

39 services36 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

34 services34 patients

Drainage of fluid from abdominal cavity using imaging guidance 49083

This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.

33 services22 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

32 services32 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

30 services30 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

28 services28 patients

Ultrasound scan of abdominal aorta 76706

An ultrasound scan of the abdominal aorta is a non-invasive imaging test. It uses sound waves to create pictures of the main blood vessel in your abdomen, the aorta, to check its size and shape. This helps detect any abnormalities or issues early.

26 services26 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

25 services25 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

23 services23 patients

Biopsy and aspiration of bone marrow sample for diagnosis 38222

A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.

22 services22 patients

Imaging for evaluation of swallowing function 74230

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

22 services21 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

21 services21 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

19 services19 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

18 services18 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

18 services17 patients

Ct scan of middle spine without contrast 72128

A CT scan of the middle spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your mid-spine area. This scan helps doctors identify issues like fractures, tumors, or infections. No dye is used in this procedure.

17 services17 patients

Ct scan of blood vessels of abdomen and pelvis with contrast 74174

A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.

17 services17 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

17 services17 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

17 services17 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

16 services15 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

16 services15 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

15 services13 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

15 services14 patients

Insertion of tunneled central venous tube for infusion (5 years or older) 36558

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

15 services15 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

15 services15 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

15 services14 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

15 services13 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number170040

Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County

Emergency services Birthing friendly

Miami County Medical Center

Acute Care Hospitals · La Cygne, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number170109

Location1017 E Market St, Ohfm LacygneLa Cygne, KS 66040 · Linn County

Emergency services

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS

4/5 CMS rating

OwnershipProprietary

CMS Certification Number170176

Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County

Emergency services Birthing friendly

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS

3/5 CMS rating

OwnershipProprietary

CMS Certification Number170182

Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County

Emergency services

Amberwell Atchison Association

Critical Access Hospitals · Atchison, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number171382

Location800 Raven Hill DriveAtchison, KS 66002 · Atchison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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 20

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

JENNA SNYDER MD

Obstetrics & Gynecology

800 SPRUCE ST
PHILADELPHIA, PA 19107

Philadelphia County (856) 803-3694

MR. ANTHONY JOHN CORDISCO

Student in an Organized Health Care Education/Training Program

800 SPRUCE ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 316-5151

PEDRO GONZALEZ-ALEGRE MD

Psychiatry & Neurology (Neurology)

800 SPRUCE ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 829-6500

CATRINA JONES CRNA

Nurse Anesthetist, Certified Registered

800 SPRUCE ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 829-5664

KATHLEEN M VELOSO MD

Anesthesiology

800 SPRUCE ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 829-5664

MICHELLE RAE HALVORSEN CRNP

Nurse Practitioner (Neonatal)

800 SPRUCE ST, 2 CATHCART
PHILADELPHIA, PA 19107

Philadelphia County (215) 829-3301

MOHAMMAD M SARHAN MD

Hospitalist

800 SPRUCE ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 829-5410

NEEPA SHAH MD

Internal Medicine

800 SPRUCE ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 829-5410

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 Sandeep Reddy's NPI number?

The NPI number for Sandeep Reddy is 1437513322. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Sandeep Reddy located?

Sandeep Reddy practices at 800 Spruce St, Philadelphia, PA 19107. The listed phone number is (215) 829-6657.

What is Sandeep Reddy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sandeep Reddy enrolled in Medicare?

Yes. Sandeep 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 Sandeep Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Reddy reassigns Medicare benefits to 8 organizations: Diagnostic Imaging Centers, P.A. (Kansas City, MO), Advanced Radiology Consultants Of Kansas City, PA (Overland Park, KS), Overland Park Surgical Specialties LLC (Overland Park, KS), Greenwood County Hospital (Eureka, KS), Wichita Radiological Group Prof Assoc (Wichita, KS) and 3 more organizations, listed in the Medicare section above. 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 Sandeep Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandeep Reddy accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Sandeep 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.

Is Sandeep Reddy affiliated with any hospitals?

According to CMS data, Sandeep Reddy is affiliated with University Of Kansas Hospital, Miami County Medical Center, Overland Park Reg Med Ctr, Menorah Medical Center and Amberwell Atchison Association.

When was this NPI record last updated?

The NPPES record for Sandeep Reddy was last updated on July 13, 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.