MR. NITHIN C REDDY (MD) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1700840345

MR. NITHIN C REDDY (MD) is a healthcare provider. based in San diego, California. specializing in Adult Reconstructive Orthopaedic Surgery Physician. They hold the professional credentials MD. They hold a License No. A83846 (CA). The NPI Number for MR. NITHIN C REDDY (MD) is 1700840345

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. NITHIN C REDDY (MD)
NPI
1700840345
Phone
(858) 616-5212
Address
5893 COPLEY DR
Enumeration Date
12 April 2006
Last Update Date
8 December 2021

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
8586165499
Graduation Year
1998 (28 years ago)
PAC ID
3274435052
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20040122000636

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MR. NITHIN C REDDY (MD)

  • 5893, Copley Drive, San Diego, San Diego County, California, 92111, United States

    DEPARTMENT OF ORTHOPEDICS

    SAN DIEGO, CA 921117906

    Phone: (858) 616-5212

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-10-10 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-10

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: 2004-01-22

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
I20040122000636IOrthopedic SurgeryCATBD

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 92111)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What number should I use to identify MR. NITHIN C REDDY (MD) for billing?
Administrative and clinical systems typically use NPI 1700840345 for MR. NITHIN C REDDY (MD).
Should I treat MR. NITHIN C REDDY (MD) as an active provider?
Patients and plans typically see MR. NITHIN C REDDY (MD) as active in the national extract.
What type of care does MR. NITHIN C REDDY (MD) provide?
MR. NITHIN C REDDY (MD)'s profile centers on Adult Reconstructive Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. NITHIN C REDDY (MD)?
MR. NITHIN C REDDY (MD) is associated with San Diego, California in the same public data insurers reference.
Why is information missing for MR. NITHIN C REDDY (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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