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MS. SOWMYA CHANDRA REDDY MD
NPI 1811252786
Internal Medicine - Endocrinology, Diabetes & Metabolism in Amsterdam, NY

Active since July 06, 2012PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
375 GOLF COURSE RD, AMSTERDAM, NY 12010(518) 212-6090(518) 212-6108 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Jul 21, 2022, Jun 5, 2017 (3 updates tracked since 2017).

About Ms. Sowmya Chandra Reddy Md NPPES

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

MS. SOWMYA CHANDRA REDDY MD (NPI 1811252786) is an individual endocrinology, diabetes & metabolism provider in Amsterdam, New York, licensed in New York (295175) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1811252786
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMS. SOWMYA CHANDRA REDDYCredential: MD
Location Address375 GOLF COURSE RDAmsterdam, NY 12010-7506
Mailing Address375 Golf Course RdAmsterdam, NY 12010-7506 · (518) 212-6090 · Fax (518) 212-6108
Phone(518) 212-6090
Fax(518) 212-6108
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 6, 2012
Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1811252786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 295175
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

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

Ms. Sowmya Chandra 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 ID4385931252
PECOS Enrollment IDI20181025001092
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 4

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.
89 services81 patients
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.
31 services26 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.
22 services22 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330047
Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County
Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330094
Location71 Prospect AvenueHudson, NY 12534 · Columbia County
Emergency services

Nathan Littauer Hospital

Acute Care Hospitals · Gloversville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330276
Location99 East State StreetGloversville, NY 12078 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12010 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers14 claims181 services$18.60 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers14 claims420 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers46 claims173 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims18 services$1.14 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers23 claims23 services$315.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers84 claims84 services$171.75 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

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

ANGELA FRAUMANE FNP-BC
Nurse Practitioner (Family)
375 GOLF COURSE RD
AMSTERDAM, NY 12010
Montgomery County (518) 212-6090

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 Chandra Reddy's NPI number?

The NPI number for Sowmya Chandra Reddy is 1811252786. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Where is Sowmya Chandra Reddy located?

Sowmya Chandra Reddy practices at 375 Golf Course Rd, Amsterdam, NY 12010. The listed phone number is (518) 212-6090.

What is Sowmya Chandra Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sowmya Chandra Reddy enrolled in Medicare?

Yes. Sowmya Chandra 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.

Is Sowmya Chandra Reddy affiliated with any hospitals?

According to CMS data, Sowmya Chandra Reddy is affiliated with Albany Medical Center Hospital, St Mary's Healthcare, Columbia Memorial Hospital and Nathan Littauer Hospital.

When was this NPI record last updated?

The NPPES record for Sowmya Chandra Reddy was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.