DR. CHETANA M REDDY (MD) – Pediatric Cardiology Physician, NPI 1093738916
Pediatric Cardiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
878 PEDIATRIC MEDICINE in MO
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Provider Addresses for DR. CHETANA M REDDY (MD)
3691 RUTGER AVE
ST. LOUIS, MO 631102515
Phone: (314) 977-6828
Fax: (314) 977-6872
Type: Mailing
1465 S GRAND BLVD
SAINT LOUIS, MO 631041003
Phone: (314) 577-5380
Fax: (314) 268-4141
Type: Mailing
SSM Health Cardinal Glennon Children’s Hospital, 1465, South Grand Boulevard, Tiffany, City of Saint Louis, Missouri, 63104, United States
SAINT LOUIS, MO 631041003
Phone: (314) 577-5380
Fax: (314) 268-4141
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 $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-01-05 • Largest payer in this snapshot: Philips North America LLC ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Philips North America LLC | $20 |
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: 2017-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100818000864 | I | Cardiovascular Disease (Cardiology) | MO | TBD |
| I20111020000656 | I | Pediatric Medicine | GA | TBD |
| I20171108001462 | I | Pediatric Medicine | IL | TBD |
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.
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 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | MO | |
| Pediatric Medicine, Hematology/Oncology | TN | |
| Nurse Practitioner | IL | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Pediatric Medicine | IL | |
| G A S T R O E N T E R O L O G Y | WV | |
| Infectious Disease | OH | |
| Physician Assistant | MO | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | MO | |
| Pulmonary Disease | NY |
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