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ASHWINI REDDY MD
NPI 1982673000
Internal Medicine - Endocrinology, Diabetes & Metabolism in Palm Harbor, FL

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
34661 US HIGHWAY 19 N, PALM HARBOR, FL 34684(727) 787-1350(727) 754-8987 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2020, Dec 5, 2019 (2 updates tracked since 2019).

About Ashwini Reddy Md NPPES

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

ASHWINI REDDY MD (NPI 1982673000) is an individual endocrinology, diabetes & metabolism provider in Palm Harbor, Florida, licensed in Florida (ME114703) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1982673000
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameASHWINI REDDYCredential: MD
Location Address34661 US HIGHWAY 19 NPalm Harbor, FL 34684-2152
Mailing Address34661 Us Highway 19 NPalm Harbor, FL 34684-2152 · (727) 787-1350 · Fax (727) 754-8987
Phone(727) 787-1350
Fax(727) 754-8987
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 14, 2006
Last NPPES UpdateMay 4, 20202 updates tracked since enumeration
NPPES CertifiedMay 4, 2020
✔ NPI 1982673000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in FL · ME114703✔ Licensed in IN · 01067302
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036112731 (IL)
34661 US HIGHWAY 19 N, Palm Harbor, FL 34684
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Other Identifiers 3

Medicaid008733600FL
Other14PY2FL · Bcbs
Other6761609FL · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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

Ashwini 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 ID8527095421
PECOS Enrollment IDI20130523000285
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 9

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,160 services21 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.
467 services267 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.
201 services141 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
160 services84 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.
64 services43 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.
51 services51 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100055
Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34684 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers22 claims279 services$18.41 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers23 claims735 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
21 suppliers64 claims240 services$6.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers19 claims31 services$1.18 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier11 claims11 services$310.88 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
6 suppliers26 claims3,160 services$7.16 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 3

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

SATISH PATEL MD PA
Internal Medicine (Gastroenterology)
34661 US HIGHWAY 19 N
PALM HARBOR, FL 34684
Pinellas County (727) 784-1095
SNEH GUPTA MD PA
Internal Medicine (Hematology & Oncology)
34661 US HIGHWAY 19 N
PALM HARBOR, FL 34684
Pinellas County (727) 847-7685
DR. JACQUELINE SOUZA FERNANDES MD
Obstetrics & Gynecology
34661 US HIGHWAY 19 N
PALM HARBOR, FL 34684
Pinellas County (727) 787-1350

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 Ashwini Reddy's NPI number?

The NPI number for Ashwini Reddy is 1982673000. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Ashwini Reddy located?

Ashwini Reddy practices at 34661 Us Highway 19 N, Palm Harbor, FL 34684. The listed phone number is (727) 787-1350.

What is Ashwini Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Ashwini Reddy enrolled in Medicare?

Yes. Ashwini 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 Ashwini Reddy accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and Wellpoint list Ashwini 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 Ashwini Reddy affiliated with any hospitals?

According to CMS data, Ashwini Reddy is affiliated with Adventhealth North Pinellas, St Josephs Hospital, Morton Plant Hospital and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Ashwini Reddy was last updated on May 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.