PAVAN REDDY (M.D.) – Interventional Cardiology Physician, NPI 1457748840

PAVAN REDDY (M.D.) is a healthcare provider. based in Los angeles, California. specializing in INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. A146837 (CA). The NPI Number for PAVAN REDDY (M.D.) is 1457748840

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
PAVAN REDDY (M.D.)
NPI
1457748840
Phone
(323) 226-7556
Address
1200 N STATE ST
Enumeration Date
23 April 2015
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6198670557
Graduation Year
2015 (11 years ago)
PAC ID
3274878426
Group Practice PAC ID
7214159698
Professional Enrollment ID
I20240716004226
Address ID
CA920205760EL1380XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for PAVAN REDDY (M.D.)

  • 1200 N STATE ST

    LOS ANGELES, CA 900331029

    Phone: (323) 226-7556

    Fax: (323) 226-2657

    Type: Mailing

  • 1380 EL CAJON BLVD STE 212

    EL CAJON, CA 920205760

    Phone: (619) 867-0557

    Fax: (619) 867-0558

    Type: Mailing

  • 1380 EL CAJON BLVD STE 100

    EL CAJON, CA 920205760

    Phone: (619) 867-0557

    Fax: (619) 867-0558

    Type: Location

  • 2095 W Vista Way Ste 107

    Vista, CA 920836028

    Phone: (619) 867-0557

    Fax: (619) 867-0558

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $2,071.

Total Amount is formed as General ($2,071) + Research ($0) + Ownership ($0) = $2,071.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Abbott Laboratories ($911).

Total Amount

$2,071

General + Research + Ownership

Payments

28

Total payment records

General Amount

$2,071

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2024-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20181217003185IInternal MedicineCATBD
I20240716004226IInterventional CardiologyCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90033)

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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: 7214159698View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineCA
Cardiovascular Disease (Cardiology), Internal MedicineCA
Cardiovascular Disease (Cardiology), Internal MedicineCA
Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology)CA

Reviews

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Frequently asked questions

What is PAVAN REDDY (M.D.)'s NPI number?
PAVAN REDDY (M.D.)'s NPI is 1457748840 — the number used across U.S. healthcare to identify this provider.
Is there an active status for PAVAN REDDY (M.D.)?
For scheduling context, PAVAN REDDY (M.D.) is shown as active in the registry.
What clinical focus is listed for PAVAN REDDY (M.D.)?
At a glance, PAVAN REDDY (M.D.) is tied to Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Is PAVAN REDDY (M.D.) associated with Los Angeles?
Public fields place PAVAN REDDY (M.D.) around Los Angeles, California. Always confirm the exact site before visiting.
Does PAVAN REDDY (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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