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ANJALI GADDAM REDDY NP
NPI 1861762114
Nurse Practitioner - Family in Spring, TX

Active since January 04, 2012PECOS EnrolledAccepts Medicare Assignment
9303 PINECROFT DR, SUITE 340, SPRING, TX 77380(281) 681-0616(281) 419-0445 Get Directions Write a Review

NPPES record last updated: August 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anjali Gaddam Reddy Np NPPES

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

ANJALI GADDAM REDDY NP (NPI 1861762114) is an individual family provider in Spring, Texas, licensed in Texas (577483) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of Texas Medical School At Houston (1999).

NPPES Registry Identity

NPI1861762114
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANJALI GADDAM REDDYCredential: NP
Location Address9303 PINECROFT DR, SUITE 340Spring, TX 77380-3181
Mailing Address9303 Pinecroft Dr, Suite 340Spring, TX 77380-3181 · (281) 681-0616 · Fax (281) 419-0445
Phone(281) 681-0616
Fax(281) 419-0445
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1999
Enumeration DateJanuary 4, 2012
Last NPPES UpdateAugust 11, 2017
✔ NPI 1861762114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 577483
9303 PINECROFT DR, Spring, TX 77380
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Other Names 1

Former Name (1)Anjali Reddy Gaddam Np

Other Identifiers 2

Medicare PINTXB166865TX
Medicaid158998802TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, WellPoint.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

Anjali Gaddam Reddy Np 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 ID3870744337
PECOS Enrollment IDI20121108000598
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 11

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.
204 services72 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.
83 services47 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
78 services30 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
57 services43 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
46 services26 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
46 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Tops Surgical Specialty Hospital

Acute Care Hospitals · Houston, TX
OwnershipPhysician
CMS Certification Number450774
Location17080 Red Oak DriveHouston, TX 77090 · Harris County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77380 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
7%2,930 patients1/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
11%131 patients1/55-star benchmark: 96%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
8%858 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%858 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
39%858 patients3/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims

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

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
2 suppliers13 claims13 services$183.28 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 19

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

WOODLANDS NEUROLOGY AND SLEEP PA
Psychiatry & Neurology (Neurology)
9303 PINECROFT DR, STE 270
THE WOODLANDS, TX 77380
Montgomery County (281) 465-4050
DR. RYAN O'NEILL MCDONALD MD
Psychiatry & Neurology (Neurology)
9303 PINECROFT DR, SUITE 270
THE WOODLANDS, TX 77380
Montgomery County (281) 465-4050
FIANT WELLNESS GROUP
Anesthesiology (Pain Medicine)
9303 PINECROFT DR, SUITE 320
THE WOODLANDS, TX 77380
Montgomery County (713) 714-1399
AMY C BUMGARDNER MD
Dermatology
9303 PINECROFT DR, SUITE 150
THE WOODLANDS, TX 77380
Montgomery County (281) 363-5050
SWETHA SIDDAPPA YADAV MD
Internal Medicine (Hematology & Oncology)
9303 PINECROFT DR
SPRING, TX 77380
Montgomery County (832) 813-5259
GABBRIELLE ANN WILLIAMS D.C.
Chiropractor
9303 PINECROFT DR, SUITE 200
THE WOODLANDS, TX 77380
Montgomery County (281) 292-6644
MANDY SUE HARTING MD
Dermatology (MOHS-Micrographic Surgery)
9303 PINECROFT DR, SUITE 150
THE WOODLANDS, TX 77380
Montgomery County (281) 363-5050
DR. JULIA CAYE SANSBURY M.D.
Dermatology
9303 PINECROFT DR, SUITE 150
THE WOODLANDS, TX 77380
Montgomery County (281) 363-5050

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 Anjali Reddy's NPI number?

The NPI number for Anjali Reddy is 1861762114. It was assigned to this individual provider in the NPPES registry on January 4, 2012. The provider is also known as Anjali Reddy Gaddam Np.

Where is Anjali Reddy located?

Anjali Reddy practices at 9303 Pinecroft Dr Suite 340, Spring, TX 77380. The listed phone number is (281) 681-0616.

What is Anjali Reddy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anjali Reddy enrolled in Medicare?

Yes. Anjali 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 Anjali Reddy accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Anjali 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 Anjali Reddy affiliated with any hospitals?

According to CMS data, Anjali Reddy is affiliated with Memorial Hermann Hospital System and Tops Surgical Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Anjali Reddy was last updated on August 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.