PAVANAJA REDDY (M.D.) – Anesthesiology Physician, NPI 1235135989

PAVANAJA REDDY (M.D.) is a healthcare provider. based in Lakeland, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 206427 (NY). The NPI Number for PAVANAJA REDDY (M.D.) is 1235135989

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
PAVANAJA REDDY (M.D.)
NPI
1235135989
Phone
(863) 680-7000
Address
1600 LAKELAND HILLS BLVD
Enumeration Date
27 June 2005
Last Update Date
5 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8636807000
Graduation Year
1990 (36 years ago)
PAC ID
7416904842
Group Practice PAC ID
1456258979
Professional Enrollment ID
I20200727002959
Address ID
FL338053019LA1600XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,340 ANESTHESIOLOGY in FL

Provider Addresses for PAVANAJA REDDY (M.D.)

  • 1600 LAKELAND HILLS BLVD

    LAKELAND, FL 338053065

    Phone: (863) 680-7000

    Type: Mailing

  • Comtech HQ, 68, South Service Road, Huntington, Suffolk County, New York, 11747, United States

    SUITE 350

    MELVILLE, NY 117472354

    Phone: (516) 945-3000

    Type: Mailing

  • North Shore University Hospital, 300, Community Drive, Lake Success, North Hempstead, Nassau County, New York, 11030, United States

    MANHASSET, NY 110303816

    Phone: (516) 562-4887

    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 $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-03-09 • Largest payer in this snapshot: Medtronic, Inc. ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$33
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: 2020-07-27

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
I20050407000094IAnesthesiologyNYTBD
I20200727002959IAnesthesiologyFLTBD

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
00142Anesthesia for lens surgery7167$0
00811Anesthesia for other procedure on large bowel using an endoscope3131$0
00812Anesthesia for exam of colon using an endoscope2828$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2121$0
00813Anesthesia for procedure on small and large bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 33805)

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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: 1456258979View full group profile
NameSpecialtyState
Internal MedicineFL
A N E S T H E S I O L O G YFL
-FL
Physical Therapist In Private PracticeFL
Pulmonary Disease, Internal MedicineFL
-FL
Nurse PractitionerFL
Emergency MedicineFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does PAVANAJA REDDY (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PAVANAJA REDDY (M.D.) uses 1235135989.
Does CMS list PAVANAJA REDDY (M.D.) as active?
Yes — PAVANAJA REDDY (M.D.) is active in the NPI listing used on this page.
What is PAVANAJA REDDY (M.D.)'s primary classification?
Anesthesiology Physician is the headline specialty for PAVANAJA REDDY (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for PAVANAJA REDDY (M.D.)?
PAVANAJA REDDY (M.D.)'s geographic hint is Lakeland, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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