ADIREDDY KAMIREDDY (M.D.) – Internal Medicine Physician, NPI 1063646628

ADIREDDY KAMIREDDY (M.D.) is a healthcare provider. based in Toledo, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35121159 (OH). The NPI Number for ADIREDDY KAMIREDDY (M.D.) is 1063646628

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
ADIREDDY KAMIREDDY (M.D.)
NPI
1063646628
Phone
(419) 251-1963
Address
2200 JEFFERSON AVE
Enumeration Date
12 May 2009
Last Update Date
20 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8082635015
Graduation Year
2005 (21 years ago)
PAC ID
1355580838
Group Practice PAC ID
6608762778
Professional Enrollment ID
I20241220003208
Address ID
HI967342751KA30XXXSTXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for ADIREDDY KAMIREDDY (M.D.)

  • 2200, Jefferson Avenue, Uptown, Toledo, Lucas County, Ohio, 43604, United States

    4TH FLOOR

    TOLEDO, OH 436047101

    Phone: (419) 251-1963

    Type: Mailing

  • Mercy Saint Vincent Medical Center, 2213, Cherry Street, Birckhead Place, Toledo, Lucas County, Ohio, 43608, United States

    INTERNAL MEDICINE DEPT.

    TOLEDO, OH 436082603

    Phone: (419) 251-3232

    Fax: (419) 251-2393

    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 $136.

Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Deciphera Pharmaceuticals Inc. ($136).

Total Amount

$136

General + Research + Ownership

Payments

1

Total payment records

General Amount

$136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

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: 2024-12-20

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
I20241220003208IInternal MedicineHITBD

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 minutes616348$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit213213$0
83036Hemoglobin a1c level12894$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9019$0
99213Established patient office or other outpatient visit, 20-29 minutes7969$0
View full utilization report →

Insurance plans in this area (ZIP 43604)

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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: 6608762778View full group profile
NameSpecialtyState
-HI
Internal MedicineHI
Nurse PractitionerHI
Nurse PractitionerHI
-HI
Family PracticeHI
-HI
Family PracticeHI
General Surgery, GastroenterologyHI
Geriatric Medicine, Family PracticeHI

Reviews

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Frequently asked questions

Can I use this page to confirm ADIREDDY KAMIREDDY (M.D.)'s NPI?
Yes. ADIREDDY KAMIREDDY (M.D.) is listed with NPI 1063646628 in the public NPI dataset.
Does CMS list ADIREDDY KAMIREDDY (M.D.) as active?
Yes — ADIREDDY KAMIREDDY (M.D.) is active in the NPI listing used on this page.
What is ADIREDDY KAMIREDDY (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for ADIREDDY KAMIREDDY (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for ADIREDDY KAMIREDDY (M.D.)?
ADIREDDY KAMIREDDY (M.D.)'s geographic hint is Toledo, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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