DR. SUMAN M REDDY MD NPI 1447363247

Internal Medicine (Nephrology) in Bronx, NY

NPI 1447363247 Individual Male Years of Experience 28 Internal Medicine Nephrology PECOS Enrolled Accepts Medicare Approved Payment

About SUMAN REDDY

Suman Reddy is an internal medicine provider established in Bronx, New York and his medical specialization is internal medicine (nephrology) with more than 28 years of experience. He graduated from Rutgers New Jersey Medical School in 1994. The NPI number of Suman Reddy is 1447363247 and was assigned on August 2006. The practitioner's primary taxonomy code is 207RN0300X with license number 217498 (NY). The provider is registered as an individual and his NPI record was last updated 14 years ago.

An internist like Dr. Suman M Reddy Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Suman Reddy is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Suman Reddy is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Montefiore Medical Center.

NPI

1447363247

Provider NameDR. SUMAN M REDDY MD
Provider Location Address1578 WILLIAMSBRIDGE RD BRONX, NY 10461
Provider Mailing Address1578 WILLIAMSBRIDGE RD BRONX, NY 10461
GenderMale
NPI Entity TypeIndividual
Medical School NameRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year1994
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-16-2006
Last Update Date01-11-2008


Primary Taxonomy

Taxonomy Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.217498
License StateNY
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Business Address

DR. SUMAN M REDDY MD
1578 WILLIAMSBRIDGE RD
BRONX, NY
ZIP 10461
Phone: (718) 822-1469
Fax: (718) 822-8838

Get Directions


Mailing Address

DR. SUMAN M REDDY MD
1578 WILLIAMSBRIDGE RD
BRONX, NY
ZIP 10461
Phone: (718) 822-1469
Fax: (718) 822-8838



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8426193145
PECOS Enrollment IDI20100306000314
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 882Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 716Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • 435Automated urinalysis test (HCPCS:81003)
  • 75Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 70Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • 44Administration of influenza virus vaccine (HCPCS:G0008)
  • 41Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • 35Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 13Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)
  • 11Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Suman Reddy is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MONTEFIORE MEDICAL CENTER111 EAST 210TH STREET
BRONX, NY 10467
(718) 920-4321Acute Care Hospitals330059

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
02078944MEDICAID (05)NY
G33679MEDICARE UPIN (02)
62C331MEDICARE PIN (08)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700854486DR. KENNETH SHAPIRO MD
Individual
Specialist1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 904-1400
1902866627DR. SUSAN KATZ MD
Individual
Dermatology1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 518-8888
1790746865DR. KATHLEEN OCONNOR MD
Individual
Dermatology1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 518-8888
1639189038 PETER KARL KELLER M.D.
Individual
Internal Medicine (Cardiovascular Disease)1578 WILLIAMSBRIDGE RD SUITE 1A
BRONX, NY 10461
(718) 892-7817
1518071729DR. PETER LYLE STONE M.D.
Individual
Urology1578 WILLIAMSBRIDGE RD SUITE 2A
BRONX, NY 10461
(718) 892-2100
1396855656 BRYAN RUSSELL LATZMAN MD
Individual
Internal Medicine (Cardiovascular Disease)1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 892-7817
1760584791 KATIA ASCHER MD
Individual
Internal Medicine (Nephrology)1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 822-1469
1598867285DR. ALAN SETH FRIEDMAN MD
Individual
Internal Medicine (Nephrology)1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 822-1469
1356446173 MARCO GENTILUCCI M.D.
Individual
Internal Medicine (Cardiovascular Disease)1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 892-7817
1285797217MRS. AYLIN KIYICI M.D.
Individual
Internal Medicine1578 WILLIAMSBRIDGE RD C-LEVEL
BRONX, NY 10461
(718) 239-2491
1447315338DR. FIRAS LUTFI BARAKAT M.D.
Individual
Internal Medicine1578 WILLIAMSBRIDGE RD C-LEVEL
BRONX, NY 10461
(718) 239-2491
1124155619KATHLEEN O CONNOR MD
Organization
Dermatology1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 518-8888
1538339387NEW YORK WESTCHESTER SURGICAL, PC
Organization
Surgery1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 904-1400
1003040536 OLGA L. VILLAMIL
Individual
Physical Therapist1578 WILLIAMSBRIDGE RD SUITE 3D
BRONX, NY 10461
(718) 863-3292
1073814604HELEN MAY MD PLLC
Organization
Internal Medicine1578 WILLIAMSBRIDGE RD LEVEL C
BRONX, NY 10461
(718) 597-5700
1588938625B & K MEDICAL ASSOCIATES LLC
Organization
Legal Medicine1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 239-2492
1881930832MONTEFIORE MEDICAL CENTER
Organization
Clinic/Center (Oncology)1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 931-2290
1821066531DR. ANIBAL O PUENTE MD
Individual
Specialist1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 904-1400
1568430221DR. JOACHIM Z FUKS MD
Individual
Specialist1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 931-2290
1063576692RENAL MEDICINE, P.C.
Organization
Internal Medicine (Nephrology)1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 822-1469

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.