DR. RAJU Y REDDY DDS
NPI 1619072592
Dentist - Oral and Maxillofacial Surgery in Redwood City, CA

Active since September 14, 2006Opted out of Medicare · through Apr 18, 2028
11 BIRCH STREET, SUITE 110, REDWOOD CITY, CA 94062(650) 314-0100(650) 362-1980 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Raju Y Reddy Dds NPPES

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

DR. RAJU Y REDDY DDS (NPI 1619072592) is an individual oral and maxillofacial surgery provider in Redwood City, California, licensed in California (OMS46) and active in the NPI registry since September 2006. He has opted out of Medicare through April 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619072592
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RAJU Y REDDYCredential: DDS
Location Address11 BIRCH STREET, SUITE 110Redwood City, CA 94062
Mailing Address11 Birch Street Suite 110Redwood City, CA 94062 · (650) 387-6517 · Fax (650) 362-1980
Fax(650) 362-1980
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateApril 22, 2008
NPI 1619072592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in CA · OMS46 Licensed in CA · GA1293
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

11 BIRCH STREET, Redwood City, CA 94062

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Raju Y Reddy Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 18, 2016 through April 18, 2028.

Opt-Out Effective DateApril 18, 2016
Opt-Out In Effect ThroughApril 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94062 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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 Raju Reddy's NPI number?

The NPI number for Raju Reddy is 1619072592. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Raju Reddy located?

Raju Reddy practices at 11 Birch Street Suite 110, Redwood City, CA 94062. The listed phone number is (650) 314-0100.

What is Raju Reddy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Raju Reddy enrolled in Medicare?

No. Raju Reddy has opted out of Medicare through April 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Raju Reddy accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Raju 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 Raju Reddy was last updated on April 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.