KALPANA GINUGU REDDY MD
NPI 1609430354
Family Medicine in Middletown, CT
About Kalpana Ginugu Reddy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALPANA GINUGU REDDY MD (NPI 1609430354) is an individual family medicine provider in Middletown, Connecticut, licensed in Connecticut (075412) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Kalpana Ginugu 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kalpana Reddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 147 clinicians in this Medicare group
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 178 clinicians in this Medicare group
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 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDDLETOWN, CT 06457
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 Kalpana Reddy's NPI number?
The NPI number for Kalpana Reddy is 1609430354. It was assigned to this individual provider in the NPPES registry on April 29, 2019.
Where is Kalpana Reddy located?
Kalpana Reddy practices at 520 Saybrook Rd Ste N100, Middletown, CT 06457. The listed phone number is (860) 358-3130.
What is Kalpana Reddy's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kalpana Reddy enrolled in Medicare?
Yes. Kalpana 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 Kalpana Reddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalpana Reddy reassigns Medicare benefits to 2 organizations: Mhs Primary Care (Middletown, CT) and Middlesex Hospital (Middletown, CT). 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 Kalpana Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kalpana Reddy accept?
Health plans from Anthem Blue Cross and Blue Shield list Kalpana 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.
When was this NPI record last updated?
The NPPES record for Kalpana Reddy was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kalpana Ginugu Reddy, MD · NPI 1609430354
Family Medicine physician in Middletown, Connecticut. Individual provider, active in the CMS NPPES registry since April 29, 2019.
## Identity
- **NPI:** 1609430354 (Entity type: Individual)
- **Enumerated:** April 29, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 075412 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 520 SAYBROOK RD STE N100, Middletown, CT 06457-4741
- **Phone:** (860) 358-3130 · **Fax:** (860) 358-8657
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mhs Primary Care (NPI 1639399959, Middletown, CT); Middlesex Hospital (NPI 1972563138, Middletown, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** September 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609430354) · Data from the CMS NPPES public registry.