DR. GEETH KAVYA MINAMA REDDY (MD) – Family Medicine Physician, NPI 1174027171

DR. GEETH KAVYA MINAMA REDDY (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036.177395 (IL). The NPI Number for DR. GEETH KAVYA MINAMA REDDY (MD) is 1174027171

Main info

Female
8 Years Of Experience
Name
DR. GEETH KAVYA MINAMA REDDY (MD)
NPI
1174027171
Phone
Not provided
Address
801 ALBANY ST FL G
Enumeration Date
23 March 2018
Last Update Date
27 February 2026

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6172960061
Graduation Year
2018 (8 years ago)
PAC ID
6305182338
Group Practice PAC ID
2062423866
Professional Enrollment ID
I20260204002403
Address ID
MA021262122BO1575XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

Provider Addresses for DR. GEETH KAVYA MINAMA REDDY (MD)

  • 801 ALBANY ST FL G

    BOSTON, MA 021193791

    Phone:

    Type: Mailing

  • 1575 BLUE HILL AVE

    MATTAPAN, MA 021262122

    Phone: (617) 269-0061

    Fax: (617) 296-5408

    Type: Location

  • 230, West 17th Street, Chelsea, Manhattan Community Board 4, Manhattan, New York County, New York, 10011, United States

    NEW YORK, NY 100115325

    Phone: (212) 206-5200

    Type: Mailing

  • 2653 W OGDEN AVE FL 3

    CHICAGO, IL 606081647

    Phone: (773) 522-6100

    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: 2026-02-04

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
I20211123000922IFamily PracticeMATBD
I20260204002403IFamily PracticeILTBD

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 02119)

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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: 2062423866View full group profile
NameSpecialtyState
Nurse PractitionerMA
Family PracticeMA
Nurse PractitionerMA
Mental Health CounselorMA
Family PracticeMA
-MA
Nurse PractitionerMA
Nurse PractitionerMA
-MA
Certified Nurse Midwife (Cnm)MA

Reviews

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Frequently asked questions

What is DR. GEETH KAVYA MINAMA REDDY (MD)'s NPI number?
DR. GEETH KAVYA MINAMA REDDY (MD)'s NPI is 1174027171 — the number used across U.S. healthcare to identify this provider.
Is DR. GEETH KAVYA MINAMA REDDY (MD) shown as active in public data?
Registry records indicate DR. GEETH KAVYA MINAMA REDDY (MD) maintains an active NPI.
What kind of doctor is DR. GEETH KAVYA MINAMA REDDY (MD)?
DR. GEETH KAVYA MINAMA REDDY (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. GEETH KAVYA MINAMA REDDY (MD)?
Travel planning: use Boston, Massachusetts as the reference point for DR. GEETH KAVYA MINAMA REDDY (MD), then confirm.
Does DR. GEETH KAVYA MINAMA REDDY (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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