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NITYA REDDY RAMREDDY M.D.
NPI 1962813899
Internal Medicine - Rheumatology in Glen Ridge, NJ

Active since May 13, 2014PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
311 BAY AVE STE 300A, GLEN RIDGE, NJ 07028(973) 798-4777(201) 523-9550 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2025, Apr 29, 2024, Jun 15, 2023 and 5 more (8 updates tracked since 2017).

About Nitya Reddy Ramreddy M.d. NPPES

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

NITYA REDDY RAMREDDY M.D. (NPI 1962813899) is an individual rheumatology provider in Glen Ridge, New Jersey, licensed in New Jersey (25MA12498700) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1962813899
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameNITYA REDDY RAMREDDYCredential: M.D.
Location Address311 BAY AVE STE 300AGlen Ridge, NJ 07028-1607
Mailing Address311 Bay Ave Ste 300aGlen Ridge, NJ 07028-1607 · (973) 798-4777 · Fax (201) 523-9550
Phone(973) 798-4777
Fax(201) 523-9550
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 13, 2014
Last NPPES UpdateJune 16, 20258 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1962813899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NJ · 25MA12498700
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License A185287 (CA)
311 BAY AVE STE 300A, Glen Ridge, NJ 07028
Open in Google Maps ↗

Other Names 1

Former Name (1)Nitya R Ram Reddy

Secondary Practice Locations 4

Location 1300 Pasteur DrStanford, CA 94305-2200 · Phone (650) 723-4000
Location 220880 W Dixie Hwy Ste 101Miami, FL 33180-1151 · Phone (305) 682-1441
Location 31500 S Fairfield AveChicago, IL 60608-1782 · Phone (773) 257-5077
Location 48932 SW 97th AveMiami, FL 33176-1936 · Phone (305) 243-7545 · Fax (305) 243-7546

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Nitya Reddy Ramreddy 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 ID8921341520
PECOS Enrollment IDI20250313000082
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 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.
152 services96 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
97 services97 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services12 patients

Hospital Affiliations CMS Care Compare

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

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07028 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

Other Providers at the Same Location NPPES

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

LAURA AMALIA YAPOR MD
Internal Medicine (Pulmonary Disease)
311 BAY AVE STE 300A
GLEN RIDGE, NJ 07028
Essex County (973) 798-4777

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 Nitya Ramreddy's NPI number?

The NPI number for Nitya Ramreddy is 1962813899. It was assigned to this individual provider in the NPPES registry on May 13, 2014. The provider is also known as Nitya R Ram Reddy.

Where is Nitya Ramreddy located?

Nitya Ramreddy practices at 311 Bay Ave Ste 300A, Glen Ridge, NJ 07028. The listed phone number is (973) 798-4777.

What is Nitya Ramreddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nitya Ramreddy enrolled in Medicare?

Yes. Nitya Ramreddy 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 Nitya Ramreddy accept?

Health plans from Molina Healthcare list Nitya Ramreddy 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 Nitya Ramreddy affiliated with any hospitals?

According to CMS data, Nitya Ramreddy is affiliated with Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Nitya Ramreddy was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.