SHASHIDHAR REDDY MADIREDDY (M.D) – Family Medicine Physician, NPI 1144450891

SHASHIDHAR REDDY MADIREDDY (M.D) is a healthcare provider. based in Bangor, Maine. specializing in FAMILY PRACTICE. They hold the professional credentials M.D. They hold a License No. MD19248 (ME). The NPI Number for SHASHIDHAR REDDY MADIREDDY (M.D) is 1144450891

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
SHASHIDHAR REDDY MADIREDDY (M.D)
NPI
1144450891
Phone
(207) 973-6676
Address
489 State St
Enumeration Date
15 July 2009
Last Update Date
28 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083341000
Graduation Year
2006 (20 years ago)
PAC ID
1951552264
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20191030000597
Address ID
MA016052903WO119XXSTXX300

Contacts

Secure Messaging
smadireddy330702@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:16State licenses:2Other namesUpdated within 12 months

886 FAMILY PRACTICE in ME

Provider Addresses for SHASHIDHAR REDDY MADIREDDY (M.D)

  • 489 State St

    Bangor, ME 044016616

    Phone: (207) 973-6676

    Type: Location

  • 917 W Walnut St

    Johnson City, TN 376046527

    Phone: (423) 767-6463

    Type: Location

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • UMass Memorial Medical Center - Memorial Campus, 119, Belmont Street, Chandler Hill, Worcester, Worcester County, Massachusetts, 01605, United States

    WORCESTER, MA 016052903

    Phone: (508) 334-8515

    Fax: (508) 334-6490

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-10-30

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
I20191030000597IFamily PracticeMATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes469175$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11452$0
99239Hospital discharge day management, more than 30 minutes112110$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3636$0
View full utilization report →

Insurance plans in this area (ZIP 04401)

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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: 4284539891View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
-MA
-MA
Family PracticeMA
Physician AssistantMA
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to SHASHIDHAR REDDY MADIREDDY (M.D)?
The federal identifier for SHASHIDHAR REDDY MADIREDDY (M.D) is NPI 1144450891.
Is SHASHIDHAR REDDY MADIREDDY (M.D)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SHASHIDHAR REDDY MADIREDDY (M.D) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for SHASHIDHAR REDDY MADIREDDY (M.D). Clinical services aligned with this taxonomy classification.
Does SHASHIDHAR REDDY MADIREDDY (M.D) practice in Maine?
You will see Bangor, Maine on file for SHASHIDHAR REDDY MADIREDDY (M.D) alongside any extra practice locations.
Is SHASHIDHAR REDDY MADIREDDY (M.D) a real provider?
This page reflects official NPPES data for NPI 1144450891. Always confirm identity and privileges with the practice and licensing boards.

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