PRANEETH T S REDDY M.D.
NPI 1619364023
Emergency Medicine in Middle River, MD

Active since April 23, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220(410) 933-4380 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2025, Jul 28, 2022, Aug 23, 2018 and 1 more (4 updates tracked since 2018).

About Praneeth T S Reddy M.d. NPPES

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

PRANEETH T S REDDY M.D. (NPI 1619364023) is an individual emergency medicine provider in Middle River, Maryland, licensed in District Of Columbia (MD046330) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1619364023
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePRANEETH T S REDDYCredential: M.D.
Location Address6201 GREENLEIGH AVEMiddle River, MD 21220-2004
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-4380
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 23, 2015
Last NPPES UpdateApril 2, 20254 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
NPI 1619364023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in DC · MD046330 Licensed in VA · 1010264594
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6201 GREENLEIGH AVE, Middle River, MD 21220

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

Praneeth T S 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 ID941500482
PECOS Enrollment IDI20250317001609
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
60 services58 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
54 services53 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

The Mcdowell Hospital

Acute Care Hospitals · Marion, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340087
Location430 Rankin Drive P O Box 730Marion, NC 28752 · Mc Dowell County
Emergency services Birthing friendly

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21220 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 10

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

Emergency Medicine
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220
Emergency Medicine
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220
Emergency Medicine
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220
Emergency Medicine
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220
Nurse Practitioner (Family)
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220
Radiology (Diagnostic Radiology)
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220
Emergency Medicine
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220
Emergency Medicine
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220

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 Praneeth Reddy's NPI number?

The NPI number for Praneeth Reddy is 1619364023. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Praneeth Reddy located?

Praneeth Reddy practices at 6201 Greenleigh Ave, Middle River, MD 21220. The listed phone number is (410) 933-4380.

What is Praneeth Reddy's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Praneeth Reddy enrolled in Medicare?

Yes. Praneeth 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.

Is Praneeth Reddy affiliated with any hospitals?

According to CMS data, Praneeth Reddy is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, The Mcdowell Hospital and Sentara Albemarle Medical Center.

When was this NPI record last updated?

The NPPES record for Praneeth Reddy was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.