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REDDY PATHAKOTA
NPI 1942888136
Internal Medicine in San Jose, CA

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
250 HOSPITAL PKWY, SAN JOSE, CA 95119(408) 972-3000 Get Directions Write a Review

NPPES record last updated: July 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2024, Apr 2, 2021 (2 updates tracked since 2021).

About Reddy Pathakota NPPES

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

REDDY PATHAKOTA (NPI 1942888136) is an individual internal medicine provider in San Jose, California, licensed in California (A195044) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2021).

NPPES Registry Identity

NPI1942888136
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameREDDY PATHAKOTA
Location Address250 HOSPITAL PKWYSan Jose, CA 95119-1103
Mailing Address22069 Mcclellan RdCupertino, CA 95014-4005 · (408) 219-5891
Phone(408) 972-3000
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2021
Enumeration DateMarch 30, 2021
Last NPPES UpdateJuly 7, 20242 updates tracked since enumeration
NPPES CertifiedJuly 7, 2024
✔ NPI 1942888136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A195044
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
250 HOSPITAL PKWY, San Jose, CA 95119
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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

Reddy Pathakota 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 ID7911446042
PECOS Enrollment IDI20240903002167
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95119 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

MRS. JOANNE DELOSREYES PHO P.T.
Physical Therapist
250 HOSPITAL PKWY
SAN JOSE, CA 95119
Santa Clara County (408) 972-7236
ASSEFA WORKU MD
Internal Medicine
250 HOSPITAL PKWY, 260 INTERNATIONAL CIRCLE
SAN JOSE, CA 95119
Santa Clara County (408) 972-7000
THOMAS ALEC SA
Physical Therapist
250 HOSPITAL PKWY
SAN JOSE, CA 95119
Santa Clara County (408) 972-6400
ANGELA ANQI SONG
Psychiatry & Neurology (Psychiatry)
250 HOSPITAL PKWY
SAN JOSE, CA 95119
Santa Clara County (408) 972-3000
SHAMSHER SINGH MD
Family Medicine
250 HOSPITAL PKWY
SAN JOSE, CA 95119
Santa Clara County (408) 972-3000
EVON NHU GIA DU PHARMD
Pharmacist
250 HOSPITAL PKWY
SAN JOSE, CA 95119
Santa Clara County (626) 509-0616
DR. FRANCIS DOMINIC WONG D.O
Anesthesiology (Pain Medicine)
250 HOSPITAL PKWY
SAN JOSE, CA 95119
Santa Clara County (408) 972-3000
KATHERINE HONG NGUYEN PHARMD
Pharmacist (Psychiatric)
250 HOSPITAL PKWY
SAN JOSE, CA 95119
Santa Clara County (408) 972-3000

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 Reddy Pathakota's NPI number?

The NPI number for Reddy Pathakota is 1942888136. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Reddy Pathakota located?

Reddy Pathakota practices at 250 Hospital Pkwy, San Jose, CA 95119. The listed phone number is (408) 972-3000.

What is Reddy Pathakota's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Reddy Pathakota enrolled in Medicare?

Yes. Reddy Pathakota 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.

When was this NPI record last updated?

The NPPES record for Reddy Pathakota was last updated on July 7, 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.