DR. ROBERT ALLEN REDDEN (M.D.) – Internal Medicine Physician, NPI 1770580722

DR. ROBERT ALLEN REDDEN (M.D.) is a healthcare provider. based in Bowling green, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 36233 (KY). The NPI Number for DR. ROBERT ALLEN REDDEN (M.D.) is 1770580722

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT ALLEN REDDEN (M.D.)
NPI
1770580722
Phone
(270) 783-3573
Address
811 Fairview Ave
Enumeration Date
6 July 2005
Last Update Date
26 April 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
2707833573
Graduation Year
1990 (36 years ago)
PAC ID
8123246139
Group Practice PAC ID
3779521612
Professional Enrollment ID
I20140903001891
Address ID
KY421037995BO225XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

Provider Addresses for DR. ROBERT ALLEN REDDEN (M.D.)

  • 811 Fairview Ave

    Fairview Community Health Center

    Bowling Green, KY 421014969

    Phone: (270) 783-3573

    Type: Location

  • Natchez Trace Avenue, Bowling Green, Warren County, Kentucky, 42103, United States

    BOWLING GREEN, KY 42103

    Phone: (270) 783-3573

    Fax: (270) 783-4081

    Type: Location

  • PO BOX 1177

    FAIRVIEW COMMUNITY HEALTH CENTER

    BOWLING GREEN, KY 421021177

    Phone: (270) 783-3573

    Fax: (270) 783-4081

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $659.

Total Amount is formed as General ($659) + Research ($0) + Ownership ($0) = $659.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Insulet Corporation ($142).

Total Amount

$659

General + Research + Ownership

Payments

35

Total payment records

General Amount

$659

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-09-03

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
I20140903001891IInternal MedicineKYTBD

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 42101)

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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: 3779521612View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ROBERT ALLEN REDDEN (M.D.)'s NPI?
Yes. DR. ROBERT ALLEN REDDEN (M.D.) is listed with NPI 1770580722 in the public NPI dataset.
Does CMS list DR. ROBERT ALLEN REDDEN (M.D.) as active?
Yes — DR. ROBERT ALLEN REDDEN (M.D.) is active in the NPI listing used on this page.
What healthcare role does DR. ROBERT ALLEN REDDEN (M.D.) hold?
Scheduling teams often label DR. ROBERT ALLEN REDDEN (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. ROBERT ALLEN REDDEN (M.D.) serve?
DR. ROBERT ALLEN REDDEN (M.D.)'s listing highlights Bowling Green, Kentucky; more addresses can appear in NPPES.
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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