SHANTHI REDDY – Family Medicine Physician, NPI 1194047860

SHANTHI REDDY is a healthcare provider. based in Edison, New Jersey. specializing in Family Medicine Physician. They hold a License No. MA72713 (NJ). The NPI Number for SHANTHI REDDY is 1194047860

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
SHANTHI REDDY
NPI
1194047860
Phone
Not provided
Address
16 ETHEL RD
Enumeration Date
23 February 2010
Last Update Date
23 February 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2013939199
Graduation Year
1991 (35 years ago)
PAC ID
3870563166
Group Practice PAC ID
1153461264
Professional Enrollment ID
I20170109001312
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for SHANTHI REDDY

  • Ethel Road, Piscataway Township, Edison, Middlesex County, New Jersey, 08854, United States

    EDISON, NJ 088172249

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($144).

Total Amount

$156

General + Research + Ownership

Payments

2

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-12

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: 2017-01-09

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
I20170109001312IInternal MedicineNJTBD

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 08817)

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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: 1153461264View full group profile

Reviews

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Frequently asked questions

How is SHANTHI REDDY identified in CMS data?
CMS-hosted NPPES data lists SHANTHI REDDY with NPI 1194047860.
Is SHANTHI REDDY listed as active for patients and plans?
The listing shows SHANTHI REDDY as active in the NPI system.
What is SHANTHI REDDY best known for clinically?
Directory data describes SHANTHI REDDY with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does SHANTHI REDDY serve?
SHANTHI REDDY's listing highlights Edison, New Jersey; more addresses can appear in NPPES.
Why does SHANTHI REDDY have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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