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APOORVA REDDY MD
NPI 1861013112
Family Medicine in Mount Pleasant, NC

Active since April 28, 2020PECOS EnrolledAccepts Medicare Assignment
8560 COOK ST, MOUNT PLEASANT, NC 28124(704) 436-6521 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Apoorva Reddy Md NPPES

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

APOORVA REDDY MD (NPI 1861013112) is an individual family medicine provider in Mount Pleasant, North Carolina, licensed in North Carolina (2023-02899) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861013112
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAPOORVA REDDYCredential: MD
Location Address8560 COOK STMount Pleasant, NC 28124-7686
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 436-6521
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 28, 2020
Last NPPES UpdateJuly 15, 2024
NPPES CertifiedApril 28, 2020
✔ NPI 1861013112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2023-02899
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8560 COOK ST, Mount Pleasant, NC 28124
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Secondary Practice Locations 3

Location 14949 Professional Park Dr, Ste 101Kannapolis, NC 28081-8637 · Phone (704) 938-6521
Location 24315 Physicians Blvd, STE 101Harrisburg, NC 28075-7430 · Phone (704) 455-6521
Location 3270 Copperfield Blvd NE, Ste 102Concord, NC 28025-2441 · Phone (704) 786-6521

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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 and accepts Medicare assignment

Apoorva 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 ID1658721592
PECOS Enrollment IDI20231219001412
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 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.

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.
106 services90 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.
69 services46 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.
16 services16 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
15 services13 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28124 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

ANDREW HNAT MD
Family Medicine
8560 COOK ST
MT PLEASANT, NC 28124
Cabarrus County (704) 436-6521
LARA JUNINE PONS MD
Family Medicine
8560 COOK ST
MOUNT PLEASANT, NC 28124
Cabarrus County (704) 436-6521
CAROLINAS PHYSICIANS NETWORK INC
Clinic/Center (Rural Health)
8560 COOK ST
MT PLEASANT, NC 28124
Cabarrus County (704) 436-6521
CAROLINAS PHYSICIANS NETWORK INC
Counselor
8560 COOK ST
MT PLEASANT, NC 28124
Cabarrus County (704) 436-6521
JENNIFER KING SCOTT M.D.
Student in an Organized Health Care Education/Training Program
8560 COOK ST
MT PLEASANT, NC 28124
Cabarrus County (704) 436-6521
SUSAN RUTH ANDERSEN MD
Family Medicine
8560 COOK ST
MOUNT PLEASANT, NC 28124
Cabarrus County (704) 436-6521
CMC-NORTHEAST, INC.
Psychiatry & Neurology (Neurology)
8560 COOK ST
MT PLEASANT, NC 28124
Cabarrus County (704) 403-1911
CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
8560 COOK ST
MOUNT PLEASANT, NC 28124
Cabarrus County (704) 436-6521

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 Apoorva Reddy's NPI number?

The NPI number for Apoorva Reddy is 1861013112. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Apoorva Reddy located?

Apoorva Reddy practices at 8560 Cook St, Mount Pleasant, NC 28124. The listed phone number is (704) 436-6521.

What is Apoorva Reddy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Apoorva Reddy enrolled in Medicare?

Yes. Apoorva 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 Apoorva Reddy accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Apoorva 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 Apoorva Reddy affiliated with any hospitals?

According to CMS data, Apoorva Reddy is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health and Stanly Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Apoorva Reddy was last updated on July 15, 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.