DR. SUJANA REDDY M.D.
NPI 1811126253
Pediatrics - Pediatric Endocrinology in Fort Myers, FL

Q: What is Sujana Reddy's NPI number?

The NPI number for Sujana Reddy is 1811126253. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Q: What is Sujana Reddy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Sujana Reddy was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.

Active since July 07, 2009PECOS Enrolled

15901 BASS RD STE 102, FORT MYERS, FL 33908(239) 343-9890(239) 343-9898 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, Sep 22, 2022, Aug 12, 2022 and 3 more (6 updates tracked since 2017).

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About Dr. Sujana Reddy M.d. NPPES

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

DR. SUJANA REDDY M.D. (NPI 1811126253) is an individual pediatric endocrinology provider in Fort Myers, Florida, licensed in Florida (ME113447) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Port Charlotte.

NPPES Registry Identity

NPI1811126253

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameDR. SUJANA REDDYCredential: M.D.

Location Address15901 BASS RD STE 102Fort Myers, FL 33908-3838

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9890 · Fax (239) 343-4191

Phone(239) 343-9890

Fax(239) 343-9898

Sole ProprietorNo

Enumeration DateJuly 7, 2009

Last NPPES UpdateJune 25, 20266 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1811126253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in FL · ME113447

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Also ListedPediatricsTaxonomy 208000000X · License ME113447 (FL)

15901 BASS RD STE 102, Fort Myers, FL 33908

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Secondary Practice Location 1

Location 122655 Bayshore Rd Ste 110Port Charlotte, FL 33980-2005 · Phone (941) 235-4900 · Fax (941) 235-4901

Other Identifiers 1

Medicaid005970100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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Other Providers at the Same Location NPPES 15

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

CAYCE JEHAIMI M.D.

Pediatrics (Pediatric Endocrinology)