RAMESHWAR R REDDY M.D.
NPI 1366406472
Internal Medicine in Methuen, MA
NPI Status: Active since April 14, 2006
Contact Information
70 EAST ST
CARITAS HOLY FAMILY HOSPITAL, MEDICAL STAFF OFFICE
METHUEN, MA
ZIP 01844
Phone: (978) 687-0156
- Individual
- Male
- Years of Experience 24
- Internal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About RAMESHWAR REDDY
This page provides the complete NPI Profile along with additional information for Rameshwar Reddy, an internist established in Methuen, Massachusetts with a medical specialization in Internal Medicine and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1366406472 assigned on April 2006. The practitioner's primary taxonomy code is 207R00000X with license number 226779 (MA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1366406472
- Provider Name
- RAMESHWAR R REDDY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 70 EAST ST CARITAS HOLY FAMILY HOSPITAL, MEDICAL STAFF OFFICE METHUEN, MA 01844
- Location Phone
- (978) 687-0156
- Mailing Address
- 1000 PROVIDENCE PL APT 454 PROVIDENCE, RI 02903
- Mailing Phone
- (401) 487-6036
- Medical School Name
- OTHER
- Graduation Year
- 2002
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-14-2006
- Last Update Date
- 07-08-2007
- Code Navigator
An internist like Rameshwar Reddy is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 226779
- License State
- MA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred Blue PPO 5000/10%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value - PPO
- Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
- Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD - PPO
- Anthem Gold Preferred Blue PPO 500/25%/7000 - PPO
- Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
- Anthem Silver Preferred Blue PPO 2000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3000/20%/8500 - PPO
- Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 RxD - PPO
- Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
- Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
- Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Catastrophic Pathway X Enhanced 9200/0% - HMO
- Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
- Anthem Silver Pathway X Enhanced 5000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Rameshwar Reddy is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Rameshwar Reddy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9335151299
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20060615000243
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Initial hospital inpatient care per day, typically 70 minutes
Initial hospital observation care per day, typically 70 minutes
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 16 times for 16 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 220 times for 206 patientsThis service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
This service was performed 34 times for 34 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.61 for a new patient copayment and $25.87 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01844 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.47
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.61
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 100% | 259 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Rameshwar Reddy is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| HOLY FAMILY HOSPITAL | 70 EAST STREET METHUEN, MA 01844 | (978) 687-0156 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 4 | 0 | 6 | 4 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 8 | 0 | 12 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 8 + 0 + 1 + 2 + 4 + 1 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1366406472 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932109535 | FOUAD S FAM MD Individual | Anesthesiology | 70 EAST ST METHUEN, MA 01844 (978) 687-0151 |
| 1144220740 | NANDA JAGADISH MD Individual | Anesthesiology | 70 EAST ST METHUEN, MA 01844 (978) 687-0151 |
| 1992705214 | CHARLES G KELLEY MD Individual | Anesthesiology | 70 EAST ST CARITAS HOLY FAMILY HOSPITAL METHUEN, MA 01844 (978) 687-0151 |
| 1467447730 | ROBERT HANNON MD Individual | Radiology (Diagnostic Radiology) | 70 EAST ST METHUEN, MA 01844 (978) 682-3004 |
| 1437144706 | JOHNG CHUN MD Individual | Nuclear Medicine | 70 EAST ST METHUEN, MA 01844 (978) 687-0151 |
| 1487649760 | PETER CARY MD Individual | Radiology (Diagnostic Radiology) | 70 EAST ST NORTHERN RADIOLOGY ASSOCIATES METHUEN, MA 01844 (978) 682-3004 |
| 1265427066 | ROBERT SCHALL MD Individual | Radiology (Diagnostic Radiology) | 70 EAST ST METHUEN, MA 01844 (978) 982-3004 |
| 1710974217 | MS. JANICE MARIE KING RNCS Individual | Nurse Practitioner | 70 EAST ST METHUEN, MA 01844 (978) 687-0156 |
| 1629065123 | JASON JONES MD Individual | Psychiatry & Neurology (Psychiatry) | 70 EAST ST METHUEN, MA 01844 (978) 687-0156 |
| 1295724748 | LILIANE K YACOUB MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 70 EAST ST ATTN PATHOLOGY DEPT METHUEN, MA 01844 (978) 687-0156 |
| 1205825742 | AQUINAS PATHOLOGY PC Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 70 EAST ST PATHOLOGY DEPT METHUEN, MA 01844 (978) 687-0156 |
| 1922097104 | DONALD G ROSS MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 70 EAST ST ATTN: PATHOLOGY DEPT METHUEN, MA 01844 (978) 687-0156 |
| 1508847898 | ROBERT S HENRIQUES NP Individual | Nurse Practitioner | 70 EAST ST METHUEN, MA 01844 (978) 687-0151 |
| 1326022443 | KAREN ANNE DOOLEY RN PC Individual | Registered Nurse | 70 EAST ST METHUEN, MA 01844 (978) 687-0136 |
| 1184697104 | STEVEN G CRESPO M.D. Individual | Emergency Medicine | 70 EAST ST HOLY FAMILY HOSPITAL, EMERGENCY DEPARTMENT METHUEN, MA 01844 (978) 687-0156 |
| 1689606121 | DR. LAURA C CAPRARIO M.D., M.S. Individual | Internal Medicine (Hematology & Oncology) | 70 EAST ST CANCER MANAGEMENT CENTER METHUEN, MA 01844 (978) 687-0156 |
| 1982613105 | DR. JOHN ANDREW LOZADA M.D. Individual | Emergency Medicine | 70 EAST ST HOLY FAMILY HOSPITAL EMERGENCY DEPARTMENT METHUEN, MA 01844 (978) 687-0156 |
| 1053322347 | DR. RONALD FRED TEITLER M.D. Individual | Emergency Medicine | 70 EAST ST HOLY FAMILY HOSPITAL EMERGENCY DEPARTMENT METHUEN, MA 01844 (978) 687-0156 |
| 1932289311 | SHAWN M GLIKLICH M.D. Individual | Emergency Medicine | 70 EAST ST METHUEN, MA 01844 (978) 687-0156 |
| 1689758823 | CARITAS HOLY FAMILY HOSPITAL INC Organization | General Acute Care Hospital | 70 EAST ST HOLY FAMILY HOSPITAL METHUEN, MA 01844 (978) 687-0156 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366406472, enumerated in the NPI registry as an "individual" on April 14, 2006
The provider is located at 70 East St Caritas Holy Family Hospital, Medical Staff Office Methuen, Ma 01844 and the phone number is (978) 687-0156
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 24 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld and Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $134.47 with an average copayment of $33.61 for new patient appointments. Established patients should expect a typical charge of $103.48 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Initial hospital inpatient care per day, typically 70 minutes and Initial hospital observation care per day, typically 70 minutes.
The practitioner is affiliated to the following hospital(s): HOLY FAMILY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on April 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.