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DR. RATNA REDDY M.D.
NPI 1528166147
Psychiatry & Neurology - Neurology in New Brunswick, NJ

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
91.96/100
CMS Quality Rating
125 PATERSON ST, SUITE 6100, NEW BRUNSWICK, NJ 08901(732) 235-7337 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ratna Reddy M.d. NPPES

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

DR. RATNA REDDY M.D. (NPI 1528166147) is an individual neurology provider in New Brunswick, New Jersey, licensed in Texas (N5966) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1528166147
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. RATNA REDDYCredential: M.D.
Location Address125 PATERSON ST, SUITE 6100New Brunswick, NJ 08901-1962
Mailing Address66 W Gilbert St, 2nd FloorRed Bank, NJ 07701 · (732) 212-0051
Phone(732) 235-7337
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 27, 2016
✔ NPI 1528166147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in TX · N5966✔ Licensed in NJ · 25MA07884700
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 25MA07884700 (NJ)
125 PATERSON ST, New Brunswick, NJ 08901
Open in Google Maps ↗

Other Identifiers 6

OtherP00642639NJ · Rr Mcr Ptan
Medicare PIN095008A0XNJ
Medicaid0101532NJ
Medicare ID-Type Unspecified095008DAPNJ
Other22-3013521NJ · Tax Id #
Medicare UPINI42977NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, WellPoint.Insurance ›

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

Dr. Ratna 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 ID547290454
PECOS Enrollment IDI20101129000891
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

91.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.78
Promoting Interoperability100
Improvement Activities40
Cost56.81

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.

DR. RICARDO E VERDINER MD
Anesthesiology (Critical Care Medicine)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6155
DR. IMRAN KHAN M.D., PH.D.
Internal Medicine
125 PATERSON ST, SUITE 5200
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6531
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Internal Medicine (Rheumatology)
125 PATERSON ST, SUITE 5200A
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7217
DOROTEA DEFRANCESCO PA
Physician Assistant (Surgical)
125 PATERSON ST, SUITE 4100
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7800
KRISH KHATRI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7751
ADEOLA AWOMOLO MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (718) 909-4661
DR. MANISH S PATEL MD
Internal Medicine
125 PATERSON ST, ROOM 2330
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6539
FRANK JIANG
Internal Medicine
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 5100A
NEW BRUNSWICK, NJ 08901
Middlesex County (832) 235-6968

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 Ratna Reddy's NPI number?

The NPI number for Ratna Reddy is 1528166147. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Ratna Reddy located?

Ratna Reddy practices at 125 Paterson St Suite 6100, New Brunswick, NJ 08901. The listed phone number is (732) 235-7337.

What is Ratna Reddy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ratna Reddy enrolled in Medicare?

Yes. Ratna 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.

What insurance does Ratna Reddy accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and WellPoint list Ratna 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 Ratna Reddy affiliated with any hospitals?

According to CMS data, Ratna Reddy is affiliated with Jps Health Network.

When was this NPI record last updated?

The NPPES record for Ratna Reddy was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.