DR. AJAY REDDIVARI (M.D.) – Interventional Cardiology Physician, NPI 1063494086

DR. AJAY REDDIVARI (M.D.) is a healthcare provider. based in Kettering, Ohio. specializing in INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 35-06-0503R (OH). The NPI Number for DR. AJAY REDDIVARI (M.D.) is 1063494086

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. AJAY REDDIVARI (M.D.)
NPI
1063494086
Phone
(937) 294-4356
Address
1380 E STROOP RD
Enumeration Date
16 November 2005
Last Update Date
4 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
1850580671
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20110110000862
Address ID
OH453733384TR600XXSTXX400

Contacts

FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Secure Messaging
areddivari194306@direct.ketteringhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

343 INTERVENTIONAL CARDIOLOGY in OH

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Provider Addresses for DR. AJAY REDDIVARI (M.D.)

  • 1380, East Stroop Road, Oakdale, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454294926

    Phone: (937) 294-4356

    Fax: (937) 297-2381

    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 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: ABIOMED ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$25
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: 2011-01-10

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
I20110110000862IInterventional CardiologyOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes783443$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report133129$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function132132$0
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician8080$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician7878$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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Provider's Procedures

DR. AJAY REDDIVARI (M.D.) performs procedures in INTERVENTIONAL CARDIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYOH92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin2825
INTERVENTIONAL CARDIOLOGYOH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report135123

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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Nurse PractitionerOH
N E U R O L O G YOH
Critical Care (Intensivists), Sleep Medicine, Pulmonary DiseaseOH
Hospitalist, Emergency MedicineOH
Nurse PractitionerOH
Internal MedicineOH
Gynecological Oncology, Obstetrics/GynecologyOH

Reviews

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Frequently asked questions

How is DR. AJAY REDDIVARI (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. AJAY REDDIVARI (M.D.) with NPI 1063494086.
Can I rely on DR. AJAY REDDIVARI (M.D.) being an active provider?
As of the registry snapshot, DR. AJAY REDDIVARI (M.D.) is marked active.
What healthcare role does DR. AJAY REDDIVARI (M.D.) hold?
Scheduling teams often label DR. AJAY REDDIVARI (M.D.) under Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. AJAY REDDIVARI (M.D.) on a map?
Expect Kettering, Ohio as a primary anchor for DR. AJAY REDDIVARI (M.D.) unless the record lists multiple sites.
Why does DR. AJAY REDDIVARI (M.D.) 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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