Dr. M. Niranjan Reddy, MD
Internal Medicine, Interventional Cardiology in Wilmington, OH. Individual provider (NPI-1).
NPI number1780640102
StatusActive
Last updated in NPPESJan 4, 2021
Details
- NPI
- 1780640102
- Entity type
- Individual (NPI-1)
- Name
- Dr. M. Niranjan Reddy
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2006
- Certification date
- Aug 12, 2020
- Last updated
- Jan 4, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERVENTIONAL CARDIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | 35071418 | OH | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 35071418R | OH |
Practice location
630 W Main St Ste 105Wilmington, OH 45177-2171
Phone 937-283-9888
Mailing address
540 Lincoln Park BlvdSuite 200
Dayton, OH 45429-6401
Phone 937-298-8058 · Fax 937-298-5638
Other practice locations
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Interventional Cardiology Physician providers in Wilmington, OH
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.