PRABHAKAR REDDY GUNDAPPU REDDY (MD) – Pain Medicine Physician, NPI 1114102910

PRABHAKAR REDDY GUNDAPPU REDDY (MD) is a healthcare provider. based in Bethlehem, Pennsylvania. specializing in Pain Medicine Physician. They hold the professional credentials MD. They hold a License No. MD444083 (PA). The NPI Number for PRABHAKAR REDDY GUNDAPPU REDDY (MD) is 1114102910

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
PRABHAKAR REDDY GUNDAPPU REDDY (MD)
NPI
1114102910
Phone
(973) 348-9007
Address
2014 City Line Rd Ste 103
Enumeration Date
31 December 2007
Last Update Date
22 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
7315112745
Professional Enrollment ID
I20111213000308
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for PRABHAKAR REDDY GUNDAPPU REDDY (MD)

  • 2014 City Line Rd Ste 103

    Bethlehem, PA 180172190

    Phone: (973) 348-9007

    Fax: (973) 707-3385

    Type: Location

  • DSP Health System, 230, Independence Road, East Stroudsburg, Monroe County, Pennsylvania, 18301, United States

    EAST STROUDSBURG, PA 183019447

    Phone: (570) 420-1955

    Fax: (570) 424-0707

    Type: Location

  • 7241, Cedar Road, Spring Creek, Lower Macungie Township, Lehigh County, Pennsylvania, 18062, United States

    MACUNGIE, PA 180628958

    Phone: (505) 514-2779

    Type: Mailing

  • 3110 HAMILTON BLVD

    ALLENTOWN, PA 181033630

    Phone: (570) 824-3521

    Type: Location

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 $221.

Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($125).

Total Amount

$221

General + Research + Ownership

Payments

2

Total payment records

General Amount

$221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2013-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20111213000308IAnesthesiologyNJTBD
I20130731000455IAnesthesiologyPATBD

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
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 18017)

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Provider's Procedures

PRABHAKAR REDDY GUNDAPPU REDDY (MD) performs procedures in Pain Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYPA20610Aspiration and/or injection of large joint or joint capsule2924
ANESTHESIOLOGYPA62311Injections of substances into lower or sacral spine9980
ANESTHESIOLOGYPA64493Injections of lower or sacral spine facet joint using imaging guidance4640

Reviews

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Frequently asked questions

Where can patients find PRABHAKAR REDDY GUNDAPPU REDDY (MD)'s NPI?
You can confirm PRABHAKAR REDDY GUNDAPPU REDDY (MD) with NPI 1114102910; it appears in the national provider directory.
Is PRABHAKAR REDDY GUNDAPPU REDDY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does PRABHAKAR REDDY GUNDAPPU REDDY (MD) treat or focus on?
Patients typically see PRABHAKAR REDDY GUNDAPPU REDDY (MD) under the specialty Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is PRABHAKAR REDDY GUNDAPPU REDDY (MD)'s primary listing?
We display Bethlehem, Pennsylvania because that is what the record indicates for PRABHAKAR REDDY GUNDAPPU REDDY (MD).
What if Bethlehem, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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