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DR. VEMURU SUNIL KUMAR REDDY MD
NPI 1639451578
Colon & Rectal Surgery in Encino, CA

Active since September 16, 2011PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
16311 VENTURA BLVD STE 505, ENCINO, CA 91436(818) 387-8725 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2024, Oct 8, 2022, Feb 19, 2021 and 2 more (5 updates tracked since 2015).

About Dr. Vemuru Sunil Kumar Reddy Md NPPES

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

DR. VEMURU SUNIL KUMAR REDDY MD (NPI 1639451578) is an individual colon & rectal surgery provider in Encino, California, licensed in California (133552) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1639451578
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. VEMURU SUNIL KUMAR REDDYCredential: MD
Location Address16311 VENTURA BLVD STE 505Encino, CA 91436-4309
Mailing Address27 Dapplegray RdBell Canyon, CA 91307-1010 · (469) 236-1427
Phone(818) 387-8725
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 16, 2011
Last NPPES UpdateApril 10, 20245 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1639451578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses✔ Licensed in CA · 133552✔ Licensed in IN · 01076762A
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
16311 VENTURA BLVD STE 505, Encino, CA 91436
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Vemuru Sunil Kumar 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 ID9537462908
PECOS Enrollment IDI20240419003578
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 10

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.
136 services136 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services75 patients
Injection of hemorrhoid 46500
An injection for hemorrhoids involves administering a substance into the swollen tissue to reduce its size. It's a simple, quick procedure, performed in a doctor's office, to help alleviate discomfort and inflammation.
72 services60 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
61 services58 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services38 patients
Diagnostic exam of rectum and lower large bowel using an endoscope 45300
This procedure, known as a sigmoidoscopy, involves using a thin, flexible instrument called an endoscope to examine your lower large bowel and rectum. This helps in identifying any abnormalities or issues that could affect your digestive health.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91436 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers19 claims637 services$1.91 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
2 suppliers11 claims13 services$6.56 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
4 suppliers26 claims780 services$4.74 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
3 suppliers17 claims370 services$5.81 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers14 claims360 services$3.46 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
4 suppliers17 claims1,370 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MEGHANA KASHYAP MD
Colon & Rectal Surgery
16311 VENTURA BLVD STE 505
ENCINO, CA 91436
Los Angeles County (818) 387-8725

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 Vemuru Sunil Reddy's NPI number?

The NPI number for Vemuru Sunil Reddy is 1639451578. It was assigned to this individual provider in the NPPES registry on September 16, 2011.

Where is Vemuru Sunil Reddy located?

Vemuru Sunil Reddy practices at 16311 Ventura Blvd Ste 505, Encino, CA 91436. The listed phone number is (818) 387-8725.

What is Vemuru Sunil Reddy's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Vemuru Sunil Reddy enrolled in Medicare?

Yes. Vemuru Sunil 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 Vemuru Sunil Reddy accept?

Health plans from CareSource list Vemuru Sunil 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 Vemuru Sunil Reddy was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.