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SOWMYA KRISHNA REDDY M.D.
NPI 1649606971
Internal Medicine in Bronx, NY

Active since September 18, 2013PECOS EnrolledAccepts Medicare Assignment
600 EAST 233 RD STREET, MONTEFIORE MEDICAL CENTER, WAKEFIELD DIVISION,, BRONX, NY 10466(718) 920-9880(718) 920-9036 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sowmya Krishna Reddy M.d. NPPES

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

SOWMYA KRISHNA REDDY M.D. (NPI 1649606971) is an individual internal medicine provider in Bronx, New York, licensed in Texas (R2453) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1649606971
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSOWMYA KRISHNA REDDYCredential: M.D.
Location Address600 EAST 233 RD STREET, MONTEFIORE MEDICAL CENTER, WAKEFIELD DIVISION,Bronx, NY 10466
Mailing Address600 East 233 Rd Street, Montefiore Medical Center, Wakefield Division,Bronx, NY 10466 · (718) 920-9880 · Fax (718) 920-9036
Phone(718) 920-9880
Fax(718) 920-9036
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 18, 2013
Last NPPES UpdateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1649606971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · R2453
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
600 EAST 233 RD STREET, Bronx, NY 10466
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.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

Sowmya Krishna 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 ID3678847209
PECOS Enrollment IDI20170921000092
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sowmya Reddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Victoria Hospitalist Associates, LLC
1,233 mi
Hospitalist
4500 S GARNETT RD, STE 919
Tulsa, OK 74146
  • Reassigned Medicare billing, Texas enrollment
  • 100 clinicians in this Medicare group
NPI 1023236825 (918) 728-6145
Hospital Medicine Services Of Tx, PLLC
1,595 mi
Hospitalist
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 681 clinicians in this Medicare group
NPI 1881392363 (210) 575-4000

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
422 services156 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
145 services60 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
138 services126 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
72 services71 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Connally Memorial Medical Center

Acute Care Hospitals · Floresville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450108
Location499 10th StreetFloresville, TX 78114 · Wilson County
Emergency services

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Uvalde Memorial Hospital

Critical Access Hospitals · Uvalde, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451387
Location1025 Garner Field RoadUvalde, TX 78801 · Uvalde County
Emergency services

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10466 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Sowmya Reddy's NPI number?

The NPI number for Sowmya Reddy is 1649606971. It was assigned to this individual provider in the NPPES registry on September 18, 2013.

Where is Sowmya Reddy located?

Sowmya Reddy practices at 600 East 233 Rd Street Montefiore Medical Center, Wakefield Division,, Bronx, NY 10466. The listed phone number is (718) 920-9880.

What is Sowmya Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sowmya Reddy enrolled in Medicare?

Yes. Sowmya 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 Sowmya Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sowmya Reddy reassigns Medicare benefits to 2 organizations: Victoria Hospitalist Associates, LLC (Tulsa, OK) and Hospital Medicine Services Of Tx, PLLC (San Antonio, TX). 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 Sowmya Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sowmya Reddy accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Sowmya 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 Sowmya Reddy affiliated with any hospitals?

According to CMS data, Sowmya Reddy is affiliated with Peterson Regional Medical Center, Connally Memorial Medical Center, Methodist Hospital, Uvalde Memorial Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Sowmya Reddy was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.