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PRASANNA KUMAR REDDY TADI M.D.
NPI 1689962441
Psychiatry & Neurology - Neurology in Wilkes Barre, PA

Active since July 14, 2011PECOS EnrolledAccepts Medicare Assignment
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-7300 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2024, Jul 17, 2024, Mar 2, 2023 and 3 more (6 updates tracked since 2016).

About Prasanna Kumar Reddy Tadi M.d. NPPES

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

PRASANNA KUMAR REDDY TADI M.D. (NPI 1689962441) is an individual neurology provider in Wilkes Barre, Pennsylvania, licensed in California (C188058) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1689962441
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePRASANNA KUMAR REDDY TADICredential: M.D.
Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0027
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 808-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 14, 2011
Last NPPES UpdateAugust 5, 20246 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1689962441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in CA · C188058✔ Licensed in WA · MD61530989✔ Licensed in NE · 29725✔ Licensed in PA · MD458144✔ Licensed in RI · LP02757✔ Licensed in WI · 81287✔ Licensed in IN · 01089863A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Nebraska, CareSource and more.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

Prasanna Kumar Reddy Tadi 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 ID3678791241
PECOS Enrollment IDI20230217000206
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

18

Medicare enrollment records show Prasanna Kumar Reddy Tadi reassigns Medicare billing to 18 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
0.3 mi
Optometrist
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1366492902 (570) 826-7300
Bon Secours Medical Group Richmond Specialty Care LLC
264 mi
Cardiovascular Disease
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 581 clinicians in this Medicare group
NPI 1477112225 (804) 627-5573
Mcv Associated Physicians
271 mi
Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 clinicians in this Medicare group
NPI 1710959457 (804) 828-8707
Cumberland County Hospital System Inc
438 mi
Surgery
803 TILGHMAN DR STE 200
Dunn, NC 28334
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1417355629 (910) 892-1550
Carteret County General Hospital Corporation
453 mi
Urgent Care
3722 BRIDGES ST, SUITE A
Morehead City, NC 28557
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1760479331 (North Carolina)
  • 283 clinicians in this Medicare group
NPI 1184951840 (252) 808-6136
Lutheran Medical Group LLC
493 mi
Cardiovascular Disease
7916 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 301 clinicians in this Medicare group
NPI 1164662805 (260) 432-2297
Baptist Health Medical Group Inc
516 mi
Nurse Practitioner
4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky and Indiana enrollments
  • Also billed through NPI 1467057042 (Indiana)
  • 999 clinicians in this Medicare group
NPI 1518360296 (859) 260-4390
Cep America - Neurology PC
620 mi
Neurology
801 S MAIN ST
Clinton, IN 47842
  • Reassigned Medicare billing, California, Florida, Indiana and Washington enrollments
  • Also billed through NPI 1669223830 (Washington)
  • 117 clinicians in this Medicare group
NPI 1639788250 (765) 832-1234
Froedtert South, Inc.
625 mi
Family Medicine
6308 8TH AVE
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 212 clinicians in this Medicare group
NPI 1558305284 (262) 656-2718
Froedtert Manitowoc Medical Group, LLC
635 mi
Multi-Specialty
2300 WESTERN AVE
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 350 clinicians in this Medicare group
NPI 1437829975 (920) 320-2436

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 6

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.

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.
61 services60 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
43 services43 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
20 services20 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.
15 services15 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
13 services13 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

DR. KEVIN P BURKHARDT
Audiologist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7923
EVA VAISHNAV DO
Internal Medicine (Cardiovascular Disease)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-6020
DR. WALTER MIECZKOWSKI III
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300
SARAH EILEEN HELWIG CRNP
Nurse Practitioner
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-2338
STACY KANDRAC
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7701
VANESSA ANNE MARKLE PHARMACIST
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7754
JACOB SHAJI
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7754
JEFFERSON WATERS
Student in an Organized Health Care Education/Training Program
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300

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 Prasanna Kumar Reddy Tadi's NPI number?

The NPI number for Prasanna Kumar Reddy Tadi is 1689962441. It was assigned to this individual provider in the NPPES registry on July 14, 2011.

Where is Prasanna Kumar Reddy Tadi located?

Prasanna Kumar Reddy Tadi practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7300.

What is Prasanna Kumar Reddy Tadi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Prasanna Kumar Reddy Tadi enrolled in Medicare?

Yes. Prasanna Kumar Reddy Tadi 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 Prasanna Kumar Reddy Tadi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prasanna Kumar Reddy Tadi reassigns Medicare benefits to 18 organizations: Geisinger Clinic (Wilkes Barre, PA), Bon Secours Medical Group Richmond Specialty Care LLC (Richmond, VA), Mcv Associated Physicians (Richmond, VA), Cumberland County Hospital System Inc (Dunn, NC), Carteret County General Hospital Corporation (Morehead City, NC) and 13 more organizations, listed in the Medicare section above. 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 Prasanna Kumar Reddy Tadi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prasanna Kumar Reddy Tadi accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Nebraska, CareSource, Cigna Healthcare and Oscar Health and 1 other insurer list Prasanna Kumar Reddy Tadi 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 Prasanna Kumar Reddy Tadi affiliated with any hospitals?

According to CMS data, Prasanna Kumar Reddy Tadi is affiliated with Bon Secours St Marys Hospital, Bon Secours Memorial Regional Medical Center and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Prasanna Kumar Reddy Tadi was last updated on August 5, 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.