DR. THIRUPATHI K REDDY MD
NPI 1992808992
Internal Medicine in San Jose, CA

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
49.16/100
CMS Quality Rating
175 N JACKSON AVE STE 103, SAN JOSE, CA 95116(408) 272-1600(408) 729-1600 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thirupathi K Reddy Md NPPES

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

DR. THIRUPATHI K REDDY MD (NPI 1992808992) is an individual internal medicine provider in San Jose, California, licensed in California (A54174) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1992808992
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THIRUPATHI K REDDYCredential: MD
Location Address175 N JACKSON AVE STE 103San Jose, CA 95116-1909
Mailing Address2333 Mowry Ave, Suite 300Fremont, CA 94538 · (510) 796-0222 · Fax (510) 796-7760
Fax(408) 729-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateSeptember 6, 2006
Last NPPES UpdateAugust 24, 2021
NPPES CertifiedJanuary 14, 2021
NPI 1992808992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A54174
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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License A54174 (CA)
175 N JACKSON AVE STE 103, San Jose, CA 95116

Other Identifiers 1

Medicaid215298CA

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

Dr. Thirupathi K 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 ID9133180151
PECOS Enrollment IDI20041022000931
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 22

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
790 services631 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.
591 services314 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
444 services116 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system 93288
An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
235 services138 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.
165 services138 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
156 services153 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 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.

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.

49.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.74
Promoting Interoperability0
Improvement Activities0
Cost68.8

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%93 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
100%52 patients5/55-star benchmark: 100%
Breast Cancer Screening
3%175 patients1/55-star benchmark: 93%
Cervical Cancer Screening
3%100 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
1%478 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
65%435 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
66%44 patients3/55-star benchmark: 99%
Diabetes: Eye Exam
0%154 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
80%154 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
25%2,052 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
7%683 patients1/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%125 patients
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
49%45 patients2/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
67%39 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%961 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%890 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
35%761 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 69% · 659 patients
Patients screened: 71% · 659 patients
38%24 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
69%486 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 699 patients
Patients totalRate: 7% · 699 patients
7%699 patients4/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES

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

Internal Medicine (Nephrology)
175 N JACKSON AVE STE 103
SAN JOSE, CA 95116

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 Thirupathi Reddy's NPI number?

The NPI number for Thirupathi Reddy is 1992808992. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Thirupathi Reddy located?

Thirupathi Reddy practices at 175 N Jackson Ave Ste 103, San Jose, CA 95116. The listed phone number is (408) 272-1600.

What is Thirupathi Reddy's specialty?

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

Is Thirupathi Reddy enrolled in Medicare?

Yes. Thirupathi 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.

When was this NPI record last updated?

The NPPES record for Thirupathi Reddy was last updated on August 24, 2021. 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.