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MS. SUSHMA REDDY MD
NPI 1538696158
Obstetrics & Gynecology in Hendersonville, NC

Active since May 13, 2017PECOS EnrolledAccepts Medicare Assignment
617 6TH AVE W, HENDERSONVILLE, NC 28739(828) 694-7642(828) 694-7641 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2024, May 13, 2017 (2 updates tracked since 2017).

About Ms. Sushma Reddy Md NPPES

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

MS. SUSHMA REDDY MD (NPI 1538696158) is an individual obstetrics & gynecology provider in Hendersonville, North Carolina, licensed in Iowa (49449) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Margaret R Pardee Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1538696158
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMS. SUSHMA REDDYCredential: MD
Location Address617 6TH AVE WHendersonville, NC 28739-3503
Mailing Address617 6th Ave WHendersonville, NC 28739-3503 · (828) 694-7642 · Fax (828) 694-7641
Phone(828) 694-7642
Fax(828) 694-7641
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2017
Enumeration DateMay 13, 2017
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1538696158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in IA · 49449✔ Licensed in NE · 33995
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
617 6TH AVE W, Hendersonville, NC 28739
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11288 Valley View DrCouncil Bluffs, IA 51503-5245 · Phone (712) 328-9100
Location 21401 Jefferson HwyNew Orleans, LA 70121-2426 · Phone (504) 842-3260
Location 37500 Mercy RdOmaha, NE 68124-2319 · Phone (402) 398-6060

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Ms. Sushma Reddy Md 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 ID4082009063
PECOS Enrollment IDI20220310001653, I20241014003820
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28739 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

HENDERSON COUNTY HOSPITAL CORPORATION DBA PARDEE MEDICAL ASSOCIATES
Internal Medicine (Endocrinology, Diabetes & Metabolism)
617 6TH AVE W
HENDERSONVILLE, NC 28739
Henderson County (828) 694-8505
RYANE K GREENE RD
Dietitian, Registered
617 6TH AVE W
HENDERSONVILLE, NC 28739
Henderson County (828) 698-2393
DAVID COLLIN HERMINGHUYSEN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
617 6TH AVE W
HENDERSONVILLE, NC 28739
Henderson County (828) 698-2393
JONATHAN M RAPPAPORT MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
617 6TH AVE W
HENDERSONVILLE, NC 28739
Henderson County (828) 698-2393

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 Sushma Reddy's NPI number?

The NPI number for Sushma Reddy is 1538696158. It was assigned to this individual provider in the NPPES registry on May 13, 2017.

Where is Sushma Reddy located?

Sushma Reddy practices at 617 6th Ave W, Hendersonville, NC 28739. The listed phone number is (828) 694-7642.

What is Sushma Reddy's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sushma Reddy enrolled in Medicare?

Yes. Sushma 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 Sushma Reddy accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Sushma 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 Sushma Reddy affiliated with any hospitals?

According to CMS data, Sushma Reddy is affiliated with Margaret R Pardee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sushma Reddy was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.