DR. MEDAPALLY P REDDY (M.D.) – Internal Medicine Physician, NPI 1366472979

DR. MEDAPALLY P REDDY (M.D.) is a healthcare provider. based in Du bois, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD056128L (PA). The NPI Number for DR. MEDAPALLY P REDDY (M.D.) is 1366472979

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. MEDAPALLY P REDDY (M.D.)
NPI
1366472979
Phone
(814) 375-6560
Address
100 HOSPITAL AVE
Enumeration Date
3 July 2006
Last Update Date
2 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8149233719
Graduation Year
1983 (43 years ago)
PAC ID
6002884137
Group Practice PAC ID
5395274856
Professional Enrollment ID
I20040917000075
Address ID
PA171103668HA4386XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

9,962 INTERNAL MEDICINE in PA

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Provider Addresses for DR. MEDAPALLY P REDDY (M.D.)

  • Du Bois, Pawnee County, Nebraska, United States

    DU BOIS, PA 158011440

    Phone: (814) 375-6560

    Fax: (814) 375-2848

    Type: Mailing

  • 99, Hospital Street, Ridgway, Elk County, Pennsylvania, 15853, United States

    RIDGWAY, PA 158531948

    Phone: (814) 788-5660

    Fax: (814) 788-5663

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-09-17

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
I20040917000075IInternal MedicinePATBD

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 15801)

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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: 5395274856View full group profile
NameSpecialtyState
Physician AssistantPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MEDAPALLY P REDDY (M.D.)?
DR. MEDAPALLY P REDDY (M.D.) — NPI 1366472979 — is the standard way to identify this listing.
Is DR. MEDAPALLY P REDDY (M.D.) still practicing?
DR. MEDAPALLY P REDDY (M.D.) is currently listed as active in the public NPI registry.
What is DR. MEDAPALLY P REDDY (M.D.)'s specialty?
The listing groups DR. MEDAPALLY P REDDY (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MEDAPALLY P REDDY (M.D.)?
DR. MEDAPALLY P REDDY (M.D.)'s geographic hint is Du Bois, Pennsylvania in our summary view.
Is the information about DR. MEDAPALLY P REDDY (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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