Kalpana Ginugu Reddy, MD - Medicare Family Medicine in Middletown, CT

Kalpana Ginugu Reddy, MD is a medicare enrolled "Family Medicine" physician in Middletown, Connecticut. Her current practice location is 520 Saybrook Rd Ste N100, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 358-3130.

Kalpana Ginugu Reddy is licensed to practice in Connecticut (license number 075412) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609430354.

Contact Information

Kalpana Ginugu Reddy, MD
520 Saybrook Rd Ste N100,
Middletown, CT 06457-4741
(860) 358-3130
(860) 358-8657

Map and Direction




Physician's Profile

Full NameKalpana Ginugu Reddy
GenderFemale
SpecialityFamily Medicine
Location520 Saybrook Rd Ste N100, Middletown, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609430354
  • Provider Enumeration Date: 04/29/2019
  • Last Update Date: 09/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870826464
  • Enrollment ID: I20230901002568

Medical Identifiers

Medical identifiers for Kalpana Ginugu Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609430354NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 075412 (Connecticut)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. Kalpana Ginugu Reddy allows following entities to bill medicare on her behalf.
Entity NameMiddlesex Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972563138
PECOS PAC ID: 5092611731
Enrollment ID: O20031216000592
Entity NameMhs Primary Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740666312
PECOS PAC ID: 4082507371
Enrollment ID: O20040202000945

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. Kalpana Ginugu 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 AddressPractice Location Address
Kalpana Ginugu Reddy, MD
28 Crescent St,
Middletown, CT 06457-3650

Ph: (860) 358-6000
Kalpana Ginugu Reddy, MD
520 Saybrook Rd Ste N100,
Middletown, CT 06457-4741

Ph: (860) 358-3130

Reviews and Comments


Family Medicine Doctors in Middletown, CT

Mr. Thomas J Mclarney, MD
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Phone: 860-685-2470    Fax: 860-685-2471
Dr. James Robert Ulager, M.D.
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Practice Location: 101 Centerpoint Dr Ste 105, Middletown, CT 06457
Phone: 860-215-2295    
Kimberly Legere-sharples, MD
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Practice Location: 90 S Main St, Family Practice Group, Middletown, CT 06457
Phone: 860-358-6300    Fax: 860-358-9249
Matthew Huddleston, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 675 Main St, Middletown, CT 06457
Phone: 860-347-6971    Fax: 860-343-7379
Keith Sinusas, M.D.
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Practice Location: 90 S Main St, Middletown, CT 06457
Phone: 860-344-6300    Fax: 860-344-9249
Alexandra Anne Carlson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 28 Crescent St, Middletown, CT 06457
Phone: 860-358-4798    
Dr. Matthew J. Raider, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 645 Saybrook Rd, Middletown, CT 06457
Phone: 860-767-4024    Fax: 860-344-9906

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.