PAVANI R REDDY M.D.
NPI 1942477807
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since May 09, 2008PECOS EnrolledAccepts Medicare Assignment
4150 V ST, # 3116, SACRAMENTO, CA 95817(916) 734-7080 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pavani R Reddy M.d. NPPES

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

PAVANI R REDDY M.D. (NPI 1942477807) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1942477807
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePAVANI R REDDYCredential: M.D.
Location Address4150 V ST, # 3116Sacramento, CA 95817-1460
Mailing Address4150 V St, # 3116Sacramento, CA 95817-1460 · (916) 734-7080
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMay 9, 2008
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1942477807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4150 V ST, Sacramento, CA 95817

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pavani R Reddy M.d. 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 ID42499816
PECOS Enrollment IDI20110125001264
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.

Medicare Billing Reassignment

Medicare enrollment records show Pavani Reddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Nurse Anesthetist, Certified Registered
4150 V ST, PSSB-SUITE 1200, MED: ANESTHESIA
SACRAMENTO, CA 95817
Internal Medicine (Critical Care Medicine)
4150 V ST, SUITE 3400
SACRAMENTO, CA 95817
Nurse Anesthetist, Certified Registered
4150 V ST, PSSB-SUITE 1200, MED: ANESTHESIA
SACRAMENTO, CA 95817
Internal Medicine
4150 V ST, #3116
SACRAMENTO, CA 95817
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4150 V ST, #3116
SACRAMENTO, CA 95817
Internal Medicine
4150 V ST, #3116
SACRAMENTO, CA 95817
Internal Medicine (Critical Care Medicine)
4150 V ST, SUITE 3400
SACRAMENTO, CA 95817
General Acute Care Hospital
4150 V ST, 2100
SACRAMENTO, CA 95817

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 Pavani Reddy's NPI number?

The NPI number for Pavani Reddy is 1942477807. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Pavani Reddy located?

Pavani Reddy practices at 4150 V St # 3116, Sacramento, CA 95817. The listed phone number is (916) 734-7080.

What is Pavani Reddy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pavani Reddy enrolled in Medicare?

Yes. Pavani 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.

Which organization bills Medicare for Pavani Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pavani Reddy reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pavani Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pavani Reddy was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.