SISIRA REDDY
NPI 1629339916
Internal Medicine - Rheumatology in Atlanta, GA

Active since June 03, 2012PECOS EnrolledAccepts Medicare Assignment
72.26/100
CMS Quality Rating
6135 BARFIELD RD, STE 200, ATLANTA, GA 30328(404) 256-8500(404) 256-8506 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2020, Apr 15, 2017 (2 updates tracked since 2017).

About Sisira Reddy NPPES

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

SISIRA REDDY (NPI 1629339916) is an individual rheumatology provider in Atlanta, Georgia, licensed in Georgia (000000) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1629339916
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSISIRA REDDY
Location Address6135 BARFIELD RD, STE 200Atlanta, GA 30328-4307
Mailing Address6135 Barfield Rd, Ste 200Atlanta, GA 30328-4307 · (404) 256-8500 · Fax (404) 256-8506
Fax(404) 256-8506
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 3, 2012
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
NPI 1629339916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in GA · 000000
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
6135 BARFIELD RD, Atlanta, GA 30328

Other Names 1

Former Name (1)Sisira Sran Md

Secondary Practice Location 1

Location 11110 W Peachtree St NW Ste 1100Atlanta, GA 30309-3609 · Phone (404) 892-2131

Accepted 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

Sisira Reddy 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 ID1759656036
PECOS Enrollment IDI20171012002114
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 20

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,440 services16 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.
417 services184 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
410 services190 patients
Red blood cell sedimentation rate, to detect inflammation, automated 85652
The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.
397 services176 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
393 services179 patients
Measurement c-reactive protein for detection of infection or inflammation 86140
C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.
368 services164 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

72.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.03
Promoting Interoperability88
Improvement Activities40
Cost45.49

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
6135 BARFIELD RD
ATLANTA, GA 30328

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 Sisira Reddy's NPI number?

The NPI number for Sisira Reddy is 1629339916. It was assigned to this individual provider in the NPPES registry on June 3, 2012. The provider is also known as Sisira Sran MD.

Where is Sisira Reddy located?

Sisira Reddy practices at 6135 Barfield Rd Ste 200, Atlanta, GA 30328. The listed phone number is (404) 256-8500.

What is Sisira Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sisira Reddy enrolled in Medicare?

Yes. Sisira 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 Sisira Reddy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Sisira 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 Sisira Reddy affiliated with any hospitals?

According to CMS data, Sisira Reddy is affiliated with Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Sisira Reddy was last updated on November 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.