DR. MANDEEP GOGIA REDDY (MD) – Psychiatry Physician, NPI 1972796563

DR. MANDEEP GOGIA REDDY (MD) is a healthcare provider. based in Irvine, California. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MT191674 (PA). The NPI Number for DR. MANDEEP GOGIA REDDY (MD) is 1972796563

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANDEEP GOGIA REDDY (MD)
NPI
1972796563
Phone
(714) 397-5110
Address
135 BALANCE
Enumeration Date
27 August 2007
Last Update Date
20 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8889127434
Graduation Year
2007 (19 years ago)
PAC ID
4688843857
Group Practice PAC ID
4082097613
Professional Enrollment ID
I20130104000155
Address ID
CA928353809FU101XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

4,130 PSYCHIATRY in CA

Provider Addresses for DR. MANDEEP GOGIA REDDY (MD)

  • 135 BALANCE

    IRVINE, CA 926181364

    Phone: (714) 397-5110

    Type: Mailing

  • 1160 S GRAND AVE

    GLENDORA, CA 917405000

    Phone: (626) 335-5980

    Type: Location

  • 2055, Kellogg Avenue, Pepper Corner, Corona, Riverside County, California, 92879, United States

    2ND FLOOR, #260

    CORONA, CA 92879

    Phone: (951) 248-4000

    Type: Mailing

  • 4199 CAMPUS DR

    STE 550

    IRVINE, CA 926124694

    Phone: (714) 397-5110

    Type: Mailing

  • 101 E VALENCIA MESA DR

    FULLERTON, CA 92835

    Phone: (714) 397-5110

    Type: Location

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: 2013-01-04

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
I20130104000155IPsychiatryCATBD

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
90791Psychiatric diagnostic evaluation9155$0
90792Psychiatric diagnostic evaluation with medical services3836$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3737$0
View full utilization report →

Insurance plans in this area (ZIP 92618)

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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: 4082097613View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Can I verify DR. MANDEEP GOGIA REDDY (MD) with an NPI only?
You can start verification with NPI 1972796563 for DR. MANDEEP GOGIA REDDY (MD), then check state licensing separately.
Is DR. MANDEEP GOGIA REDDY (MD) listed as active for patients and plans?
The listing shows DR. MANDEEP GOGIA REDDY (MD) as active in the NPI system.
What is DR. MANDEEP GOGIA REDDY (MD)'s primary classification?
Psychiatry Physician is the headline specialty for DR. MANDEEP GOGIA REDDY (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. MANDEEP GOGIA REDDY (MD) based?
DR. MANDEEP GOGIA REDDY (MD) is tied to Irvine, California in the data we show; additional addresses may exist on the full record.
Why does DR. MANDEEP GOGIA REDDY (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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