Dr Sandeep K Reddy, MD is a medicare enrolled "Specialist" physician in El Segundo, California. His current practice location is
2040 E Mariposa Ave, El Segundo, California. You can reach out to his office (for appointments etc.) via phone at
(213) 266-5600.
Dr Sandeep K Reddy is licensed to practice in California (license number A65510) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275601775.
Physician's Profile
Full Name | Dr Sandeep K Reddy |
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Gender | Male |
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Speciality | Specialist |
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Location | 2040 E Mariposa Ave, El Segundo, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275601775
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 07/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 1456259225
- Enrollment ID: I20031230000796
Medical Identifiers
Medical identifiers for Dr Sandeep K Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275601775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RH0003X | Internal Medicine - Hematology & Oncology | A65510 (California) | Secondary |
174400000X | Specialist | A65510 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sandeep K Reddy allows following entities to bill medicare on his behalf.
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
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Entity Name | Immuno-oncology Clinic Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215463799 PECOS PAC ID: 0244509057 Enrollment ID: O20170711002269 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sandeep K Reddy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Sandeep K Reddy, MD 2040 E Mariposa Ave, El Segundo, CA 90245-5027 Ph: (213) 266-5600 | Dr Sandeep K Reddy, MD 2040 E Mariposa Ave, El Segundo, CA 90245 Ph: (213) 266-5600 |
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