DR. VISHRUTH KEESARA REDDY (M.D., PH.D.) – Radiation Oncology Physician, NPI 1215399233

DR. VISHRUTH KEESARA REDDY (M.D., PH.D.) is a healthcare provider. based in Los angeles, California. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. A172604 (CA). The NPI Number for DR. VISHRUTH KEESARA REDDY (M.D., PH.D.) is 1215399233

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. VISHRUTH KEESARA REDDY (M.D., PH.D.)
NPI
1215399233
Phone
(310) 267-9099
Address
200 UCLA MEDICAL PLZ # B265
Enumeration Date
29 March 2016
Last Update Date
21 July 2021

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3107947301
Graduation Year
2016 (10 years ago)
PAC ID
0941594865
Group Practice PAC ID
3274573464
Professional Enrollment ID
I20210610002199
Address ID
CA902454914EL860XXNXXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

679 RADIATION ONCOLOGY in CA

Provider Addresses for DR. VISHRUTH KEESARA REDDY (M.D., PH.D.)

  • 200 UCLA MEDICAL PLZ # B265

    LOS ANGELES, CA 900954238

    Phone: (310) 267-9099

    Fax: (310) 794-9795

    Type: Location

  • Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    PHILADELPHIA, PA 191044238

    Phone: (215) 662-2200

    Type: Mailing

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone: (310) 301-5138

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-06-10

PECOS data refreshed: 2026-06-15

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
I20210610002199IRadiation OncologyCATBD

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
77014Ct guidance for insertion of radiation therapy fields64268$0
77300Calculation of radiation therapy dose18655$0
77427Radiation treatment management, 5 treatment sessions13447$0
99214Established patient office or other outpatient visit, 30-39 minutes7952$0
77334Design and construction of complex radiation treatment device7649$0
View full utilization report →

Insurance plans in this area (ZIP 90095)

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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: 3274573464View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerCA
Radiation OncologyCA
Radiation OncologyCA
Radiation OncologyCA
-CA
Radiation OncologyCA
Radiation OncologyCA
Radiation OncologyCA
Radiation OncologyCT

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Frequently asked questions

Where can patients find DR. VISHRUTH KEESARA REDDY (M.D., PH.D.)'s NPI?
You can confirm DR. VISHRUTH KEESARA REDDY (M.D., PH.D.) with NPI 1215399233; it appears in the national provider directory.
Is DR. VISHRUTH KEESARA REDDY (M.D., PH.D.) active in the national directory?
DR. VISHRUTH KEESARA REDDY (M.D., PH.D.)'s public NPI profile is in an active state.
Can you summarize DR. VISHRUTH KEESARA REDDY (M.D., PH.D.)'s specialty in plain language?
Clinically, the directory lists DR. VISHRUTH KEESARA REDDY (M.D., PH.D.) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. VISHRUTH KEESARA REDDY (M.D., PH.D.)?
The snapshot lists Los Angeles, California for DR. VISHRUTH KEESARA REDDY (M.D., PH.D.); download NPPES for the complete set.
What if Los Angeles, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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