DR. ADHVITH REDDIVARI (DO) – Emergency Medicine Physician, NPI 1063917615

DR. ADHVITH REDDIVARI (DO) is a healthcare provider. based in Dayton, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 28283 (MS). The NPI Number for DR. ADHVITH REDDIVARI (DO) is 1063917615

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADHVITH REDDIVARI (DO)
NPI
1063917615
Phone
Not provided
Address
10589 WILLOW BROOK RD
Enumeration Date
27 March 2018
Last Update Date
25 January 2022

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
7707197000
Graduation Year
2018 (8 years ago)
PAC ID
5991056806
Group Practice PAC ID
3577905520
Professional Enrollment ID
I20230323000150
Address ID
GA302144526FA1255XWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

586 EMERGENCY MEDICINE in MS

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Provider Addresses for DR. ADHVITH REDDIVARI (DO)

  • 10589 WILLOW BROOK RD

    DAYTON, OH 454584738

    Phone:

    Type: Mailing

  • Merit Health Wesley, 5001, Hardy Street, Hattiesburg, Lamar County, Mississippi, 39402, United States

    HATTIESBURG, MS 394021308

    Phone: (601) 296-3963

    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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

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: 2023-03-23

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
I20230323000150IEmergency MedicineGATBD

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
99285Emergency department visit with high level of medical decision making158156$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only113109$0
99291Critical care, first 30-74 minutes7474$0
99284Emergency department visit with moderate level of medical decision making6664$0
View full utilization report →

Insurance plans in this area (ZIP 45458)

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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: 3577905520View full group profile
NameSpecialtyState
Emergency MedicineNC
Emergency MedicineFL
Emergency MedicineNC
Emergency MedicineGA
Emergency MedicineGA
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineNC
Emergency MedicineNY
Nurse PractitionerGA

Reviews

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Frequently asked questions

What federal number belongs to DR. ADHVITH REDDIVARI (DO)?
The federal identifier for DR. ADHVITH REDDIVARI (DO) is NPI 1063917615.
Is DR. ADHVITH REDDIVARI (DO) currently active in the NPI registry?
CMS-published data lists DR. ADHVITH REDDIVARI (DO) as an active registrant.
What kind of provider is DR. ADHVITH REDDIVARI (DO)?
The page reflects Emergency Medicine Physician for DR. ADHVITH REDDIVARI (DO). Clinical services aligned with this taxonomy classification.
Where is DR. ADHVITH REDDIVARI (DO)'s primary listing?
We display Dayton, Ohio because that is what the record indicates for DR. ADHVITH REDDIVARI (DO).
What if Dayton, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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