NALLU S REDDY (M.D.) – Internal Medicine Physician, NPI 1063687556

NALLU S REDDY (M.D.) is a healthcare provider. based in Fort myers, Florida. specializing in FAMILY PRACTICE, GERIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME100925 (FL). The NPI Number for NALLU S REDDY (M.D.) is 1063687556

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
NALLU S REDDY (M.D.)
NPI
1063687556
Phone
(239) 343-2052
Address
P.O. BOX 2147
Enumeration Date
25 April 2008
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006999395
Graduation Year
1999 (27 years ago)
PAC ID
7416012307
Group Practice PAC ID
3971411851
Professional Enrollment ID
I20090209000615
Address ID
FL339912072CA831XXBLVD401

Contacts

Secure Messaging
nreddy3046@Direct.leememorial.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

6,722 FAMILY PRACTICE in FL

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Provider Addresses for NALLU S REDDY (M.D.)

  • P.O. BOX 2147

    FORT MYERS, FL 330922147

    Phone: (239) 343-2052

    Fax: (239) 343-5348

    Type: Mailing

  • Lee Memorial Hospital, 2776, Cleveland Avenue, Edison Park Historic District, Fort Myers, Lee County, Florida, 33901, United States

    FORT MYERS, FL 339015855

    Phone: (239) 343-2052

    Fax: (239) 343-5348

    Type: Location

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 $107.

Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.

Last reported payment date: 2024-06-24 • Largest payer in this snapshot: ViiV Healthcare Company ($107).

Total Amount

$107

General + Research + Ownership

Payments

1

Total payment records

General Amount

$107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ViiV Healthcare Company$107
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: 2009-02-09

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
I20090209000615IGeriatric MedicineFLTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2,491156$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes64188$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and331174$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes306300$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10489$0
View full utilization report →

Insurance plans in this area (ZIP 33092)

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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: 3971411851View full group profile
NameSpecialtyState
Family PracticeFL
Physical Therapist In Private PracticeGA
Hand Surgery, Orthopedic SurgeryNY
Occupational Therapist In Private PracticeFL
Family PracticeFL
Physical Therapist In Private PracticeGA
Nurse PractitionerFL
Orthopedic SurgeryFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Is NALLU S REDDY (M.D.) listed with a National Provider Identifier?
Yes — NALLU S REDDY (M.D.) has NPI 1063687556 on file in the registry.
Is there an active status for NALLU S REDDY (M.D.)?
For scheduling context, NALLU S REDDY (M.D.) is shown as active in the registry.
What area of care is associated with NALLU S REDDY (M.D.)?
NALLU S REDDY (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is NALLU S REDDY (M.D.) associated with Fort Myers?
Public fields place NALLU S REDDY (M.D.) around Fort Myers, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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