DR. SUDHAKAR REDDY (M.D) – Gastroenterology Physician, NPI 1295763753

DR. SUDHAKAR REDDY (M.D) is a healthcare provider. based in Panama city, Florida. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D. They hold a License No. ME0040195 (FL). The NPI Number for DR. SUDHAKAR REDDY (M.D) is 1295763753

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUDHAKAR REDDY (M.D)
NPI
1295763753
Phone
(850) 763-5409
Address
204 E 19TH ST
Enumeration Date
30 June 2006
Last Update Date
5 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3218417856
Graduation Year
1967 (59 years ago)
PAC ID
6002001948
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20110829000183
Address ID
FL347694123SA1330XAVEX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,474 GASTROENTEROLOGY in FL

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Provider Addresses for DR. SUDHAKAR REDDY (M.D)

  • 204, 19th Street, Panama City, Bay County, Florida, 32405, United States

    PANAMA CITY, FL 324054707

    Phone: (850) 763-5409

    Fax: (850) 763-1284

    Type: Mailing

  • 1330 BERDINGER AVE.

    ST. CLOUD, FL 347694707

    Phone: (407) 891-2943

    Fax: (407) 593-6854

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $465.

Total Amount is formed as General ($465) + Research ($0) + Ownership ($0) = $465.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($118).

Total Amount

$465

General + Research + Ownership

Payments

16

Total payment records

General Amount

$465

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2011-08-29

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
I20110829000183IGastroenterologyFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,239860$0
99213Established patient office or other outpatient visit, 20-29 minutes484426$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope441431$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare228224$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes210113$0
View full utilization report →

Insurance plans in this area (ZIP 32405)

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Provider's Procedures

DR. SUDHAKAR REDDY (M.D) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYFL45385Removal of polyps or growths of large bowel using an endoscope295294
GASTROENTEROLOGYFL82270Stool analysis for blood to screen for colon tumors6969

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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

How do payers reference DR. SUDHAKAR REDDY (M.D)?
For DR. SUDHAKAR REDDY (M.D), use NPI 1295763753 as the unique 10-digit identifier.
Would DR. SUDHAKAR REDDY (M.D) appear as active to a payer?
You can treat DR. SUDHAKAR REDDY (M.D) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. SUDHAKAR REDDY (M.D)?
DR. SUDHAKAR REDDY (M.D)'s specialty line reads Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. SUDHAKAR REDDY (M.D) registered?
Use Panama City, Florida as the headline location for DR. SUDHAKAR REDDY (M.D) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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