DR. VIJAY REDDY (MD) – Emergency Medicine Physician, NPI 1508393497

DR. VIJAY REDDY (MD) is a healthcare provider. based in Augusta, Georgia. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 009074 (GA). The NPI Number for DR. VIJAY REDDY (MD) is 1508393497

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. VIJAY REDDY (MD)
NPI
1508393497
Phone
(706) 721-3813
Address
1120 15TH ST STE BI1056
Enumeration Date
22 May 2017
Last Update Date
30 November 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7067214951
Graduation Year
2017 (9 years ago)
PAC ID
0345514543
Group Practice PAC ID
3072823186
Professional Enrollment ID
I20200707001712
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:9State licenses:2Digital endpointsOther names

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Provider Addresses for DR. VIJAY REDDY (MD)

  • 1120 15TH ST STE BI1056

    AUGUSTA, GA 309120004

    Phone: (706) 721-3813

    Type: Mailing

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    AUGUSTA, GA 309120004

    Phone: (706) 721-2273

    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 $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-01-20 • Largest payer in this snapshot: Shionogi Inc ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Shionogi Inc$31
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: 2020-07-07

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
I20200707001712IEmergency MedicineGATBD

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 30912)

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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: 3072823186View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. VIJAY REDDY (MD)?
The federal identifier for DR. VIJAY REDDY (MD) is NPI 1508393497.
Is DR. VIJAY REDDY (MD) active in the national directory?
DR. VIJAY REDDY (MD)'s public NPI profile is in an active state.
What field does DR. VIJAY REDDY (MD) work in?
You can think of DR. VIJAY REDDY (MD) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. VIJAY REDDY (MD)?
We surface Augusta, Georgia for DR. VIJAY REDDY (MD) based on available NPPES addresses.
Is DR. VIJAY REDDY (MD) a real provider?
This page reflects official NPPES data for NPI 1508393497. Always confirm identity and privileges with the practice and licensing boards.

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