DR. M. NIRANJAN REDDY MD
NPI 1780640102
Internal Medicine - Interventional Cardiology in Wilmington, OH

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
630 W MAIN ST STE 105, WILMINGTON, OH 45177(937) 283-9888 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2021, Dec 30, 2019 (2 updates tracked since 2019).

About Dr. M. Niranjan Reddy Md NPPES

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

DR. M. NIRANJAN REDDY MD (NPI 1780640102) is an individual interventional cardiology provider in Wilmington, Ohio, licensed in Ohio (35071418) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and maintains a secondary practice location in Kettering.

NPPES Registry Identity

NPI1780640102
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. M. NIRANJAN REDDYCredential: MD
Location Address630 W MAIN ST STE 105Wilmington, OH 45177-2171
Mailing Address540 Lincoln Park Blvd, Suite 200Dayton, OH 45429-6401 · (937) 298-8058 · Fax (937) 298-5638
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateApril 25, 2006
Last NPPES UpdateJanuary 4, 20212 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
NPI 1780640102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in OH · 35071418
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35071418R (OH)
630 W MAIN ST STE 105, Wilmington, OH 45177

Secondary Practice Location 1

Location 1540 Lincoln Park Blvd, Suite 200Kettering, OH 45429-6401 · Phone (937) 298-8058 · Fax (937) 298-5638

Other Identifiers 2

Other110227392Medicare Rr
Medicaid2270957OH

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

Dr. M. Niranjan 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 ID2163430166
PECOS Enrollment IDI20060403000560, I20231103002717
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 22

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.

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.
1,149 services645 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
182 services16 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
88 services81 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
87 services87 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
75 services75 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
64 services55 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Kettering Health Troy

Acute Care Hospitals · Troy, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360368
Location600 West Main StreetTroy, OH 45373 · Miami County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45177 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 35 patients
100%38 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Interventional Cardiology)
630 W MAIN ST STE 105
WILMINGTON, OH 45177
Pediatrics (Adolescent Medicine)
630 W MAIN ST STE 105
WILMINGTON, OH 45177
Internal Medicine (Interventional Cardiology)
630 W MAIN ST STE 105
WILMINGTON, OH 45177
Audiologist
630 W MAIN ST STE 105
WILMINGTON, OH 45177

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 M. Niranjan Reddy's NPI number?

The NPI number for M. Niranjan Reddy is 1780640102. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is M. Niranjan Reddy located?

M. Niranjan Reddy practices at 630 W Main St Ste 105, Wilmington, OH 45177. The listed phone number is (937) 283-9888.

What is M. Niranjan Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is M. Niranjan Reddy enrolled in Medicare?

Yes. M. Niranjan 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 M. Niranjan Reddy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 6 other insurers list M. Niranjan 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 M. Niranjan Reddy affiliated with any hospitals?

According to CMS data, M. Niranjan Reddy is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg, Soin Medical Center and Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for M. Niranjan Reddy was last updated on January 4, 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.