DR. VIJAY REDDY (MD.) – Pulmonary Disease Physician, NPI 1164480802

DR. VIJAY REDDY (MD.) is a healthcare provider. based in Jonesboro, Arkansas. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS), SLEEP MEDICINE. They hold the professional credentials MD.. They hold a License No. 35090869 (OH). The NPI Number for DR. VIJAY REDDY (MD.) is 1164480802

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. VIJAY REDDY (MD.)
NPI
1164480802
Phone
(870) 936-8000
Address
PO BOX 1960
Enumeration Date
3 May 2006
Last Update Date
16 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709368000
Graduation Year
1993 (33 years ago)
PAC ID
4981662400
Group Practice PAC ID
2961547526
Professional Enrollment ID
I20190909002959
Address ID
AR724058413JO4808XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

127 PULMONARY DISEASE in AR

Provider Addresses for DR. VIJAY REDDY (MD.)

  • PO BOX 1960

    JONESBORO, AR 724031960

    Phone: (870) 936-8000

    Fax: (870) 934-3626

    Type: Mailing

  • 4802 E JOHNSON AVE

    JONESBORO, AR 724058413

    Phone: (870) 936-8000

    Fax: (870) 934-3626

    Type: Location

  • 2760, Airport Drive, Columbus, Sharon, Franklin County, Ohio, 43219, United States

    SUITE 120

    COLUMBUS, OH 432192290

    Phone: (614) 586-0668

    Fax: (614) 586-0669

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $1,044.

Total Amount is formed as General ($1,044) + Research ($0) + Ownership ($0) = $1,044.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($583).

Total Amount

$1,044

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,044

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190909002959IPulmonary DiseaseARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes506183$0
99291Critical care, first 30-74 minutes376160$0
94727Test to determine lung volumes using gas dilution or washout224219$0
94729Test to examine how well the lungs exchange gases224219$0
94010Test to measure expiratory airflow and volume211206$0
View full utilization report →

Insurance plans in this area (ZIP 72403)

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Provider's Procedures

DR. VIJAY REDDY (MD.) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
SLEEP MEDICINEOH95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube1717

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961547526View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAR
Internal MedicineAR
-CA
Nurse PractitionerAR
-AR
-TN
-AR
Nurse PractitionerTN
Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional RadiologyTN
Nurse PractitionerAR

Reviews

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Frequently asked questions

What is the registry number for DR. VIJAY REDDY (MD.)?
The registry entry for DR. VIJAY REDDY (MD.) shows NPI 1164480802.
Should I treat DR. VIJAY REDDY (MD.) as an active provider?
Patients and plans typically see DR. VIJAY REDDY (MD.) as active in the national extract.
What does the directory say DR. VIJAY REDDY (MD.) does?
Insurance directories may phrase it differently, but here DR. VIJAY REDDY (MD.) maps to Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is DR. VIJAY REDDY (MD.) tied to Jonesboro, Arkansas?
If you are local to Jonesboro, Arkansas, DR. VIJAY REDDY (MD.) may be relevant to your search.
Can I export DR. VIJAY REDDY (MD.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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