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DR. RAGHUNATH K REDDY M.D
NPI 1689775819
Family Medicine in Stockton, CA

Active since September 26, 2006PECOS EnrolledCLIA 05D0970707 · Waiver
1805 N CALIFORNIA ST, SUITE # 102, STOCKTON, CA 95204(209) 946-4000(209) 946-4002 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Raghunath K Reddy M.d NPPES

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

DR. RAGHUNATH K REDDY M.D (NPI 1689775819) is an individual family medicine provider in Stockton, California, licensed in California (A492550) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 22, 2028, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1689775819
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAGHUNATH K REDDYCredential: M.D
Location Address1805 N CALIFORNIA ST, SUITE # 102Stockton, CA 95204-6037
Mailing Address1805 N California St, Suite # 102Stockton, CA 95204-6037 · (209) 946-4000 · Fax (209) 946-4002
Phone(209) 946-4000
Fax(209) 946-4002
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMarch 18, 2021
NPPES CertifiedMarch 18, 2021
✔ NPI 1689775819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A492550
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1805 N CALIFORNIA ST, Stockton, CA 95204
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Other Identifiers 1

Medicaid00A492550CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raghunath K Reddy M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416953344
PECOS Enrollment IDI20061016000518
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0970707

Raghunath K Reddy MD · Stockton, CA
Active · expires Feb 22, 2028
CLIA Number05D0970707
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorRaghunath K. Reddy MD
Laboratory Phone(209) 946-4000
Laboratory LocationRaghunath K Reddy MD1805 W California St #102, Stockton, CA 95204
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.
1,433 services149 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.
553 services182 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.
189 services160 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
104 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers85 claims214 services$5.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers40 claims58 services$0.95 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers35 claims1,078 services$2.39 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier36 claims1,056 services$4.08 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers36 claims12,974 services$0.29 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
4 suppliers38 claims21,411 services$0.30 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 20

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

MRS. PARAMJIT KAUR GILL M.D.
Psychiatry & Neurology (Psychiatry)
1805 N CALIFORNIA ST, SUITE 202
STOCKTON, CA 95204
San Joaquin County (209) 467-1500
RANDEEP SINGH BAJWA MD
Internal Medicine (Nephrology)
1805 N CALIFORNIA ST, STE 303
STOCKTON, CA 95204
San Joaquin County (209) 888-4340
MARJORIE M DANIS CRNA
Nurse Anesthetist, Certified Registered
1805 N CALIFORNIA ST, SUITE 101A
STOCKTON, CA 95204
San Joaquin County (209) 948-5515
MR. AKIRA TOYAMA CRNA
Nurse Anesthetist, Certified Registered
1805 N CALIFORNIA ST, SUITE 101A
STOCKTON, CA 95204
San Joaquin County (209) 948-5515
VINOD C BHAN
Nurse Anesthetist, Certified Registered
1805 N CALIFORNIA ST, SUITE 101
STOCKTON, CA 95204
San Joaquin County (209) 956-7725
DR. JOSEPH R BURLIN MD
Plastic Surgery
1805 N CALIFORNIA ST, SUITE 405
STOCKTON, CA 95204
San Joaquin County (209) 870-7100
SLEEP DISORDERS MANAGEMENT MEDICAL GROUP INC
Internal Medicine (Pulmonary Disease)
1805 N CALIFORNIA ST, SUITE 206
STOCKTON, CA 95204
San Joaquin County (209) 466-8011
SAVAGE PREMIER MEDICAL GROUP INC
Obstetrics & Gynecology
1805 N CALIFORNIA ST, SUITE 202
STOCKTON, CA 95204
San Joaquin County (209) 451-1421

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 Raghunath Reddy's NPI number?

The NPI number for Raghunath Reddy is 1689775819. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Raghunath Reddy located?

Raghunath Reddy practices at 1805 N California St Suite # 102, Stockton, CA 95204. The listed phone number is (209) 946-4000.

What is Raghunath Reddy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raghunath Reddy enrolled in Medicare?

Yes. Raghunath Reddy is registered in the Medicare PECOS enrollment system.

Does Raghunath Reddy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0970707) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Raghunath Reddy was last updated on March 18, 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.