DR. KEERTHI REDDY MD
NPI 1851915250
Psychiatry & Neurology - Child & Adolescent Psychiatry in Los Angeles, CA

Q: What is Keerthi Reddy's NPI number?

The NPI number for Keerthi Reddy is 1851915250. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Q: What is Keerthi Reddy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Keerthi Reddy was last updated on July 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 01, 2020PECOS EnrolledAccepts Medicare Assignment

1731 E 120TH ST, LOS ANGELES, CA 90059(323) 563-4800 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2024, Jun 1, 2020 (2 updates tracked since 2020).

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About Dr. Keerthi Reddy Md NPPES

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

DR. KEERTHI REDDY MD (NPI 1851915250) is an individual child & adolescent psychiatry provider in Los Angeles, California, licensed in California (185994) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2020).

NPPES Registry Identity

NPI1851915250

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. KEERTHI REDDYCredential: MD

Location Address1731 E 120TH STLos Angeles, CA 90059-3051

Mailing Address445 Tobrurry WayFolsom, CA 95630-6337

Phone(323) 563-4800

Sole ProprietorYes

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2020

Enumeration DateJune 1, 2020

Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration

NPPES CertifiedJuly 11, 2024

✔ NPI 1851915250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in CA · 185994

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

1731 E 120TH ST, Los Angeles, CA 90059

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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. Keerthi 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 ID3072938455

PECOS Enrollment IDI20251121002589

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.

Other Providers at the Same Location NPPES 19

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

MR. DAVID P. LEE LCSW

Social Worker (Clinical)