Dr Mahidhar Mahasamudram Reddy, MD - Medicare Internal Medicine in West Orange, NJ

Dr Mahidhar Mahasamudram Reddy, MD is a medicare enrolled "Internal Medicine" physician in West Orange, New Jersey. His current practice location is 1199 Pleasant Valley Way, West Orange, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 830-7694.

Dr Mahidhar Mahasamudram Reddy is licensed to practice in New Jersey (license number 25MA11750000) 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 1114451630.

Contact Information

Dr Mahidhar Mahasamudram Reddy, MD
1199 Pleasant Valley Way,
West Orange, NJ 07052-1424
(973) 830-7694
Not Available



Physician's Profile

Full NameDr Mahidhar Mahasamudram Reddy
GenderMale
SpecialityInternal Medicine
Location1199 Pleasant Valley Way, West Orange, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114451630
  • Provider Enumeration Date: 04/12/2017
  • Last Update Date: 12/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739544354
  • Enrollment ID: I20230503001278

Medical Identifiers

Medical identifiers for Dr Mahidhar Mahasamudram Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114451630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA11750000 (New Jersey)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 Mahidhar Mahasamudram Reddy allows following entities to bill medicare on his behalf.
Entity NameDavid Yakobashvili,md,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306097548
PECOS PAC ID: 1052460854
Enrollment ID: O20090713000178

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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 Mahidhar Mahasamudram 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
Dr Mahidhar Mahasamudram Reddy, MD
12 Cedar Gate Dr,
Livingston, NJ 07039

Ph: (848) 992-4223
Dr Mahidhar Mahasamudram Reddy, MD
1199 Pleasant Valley Way,
West Orange, NJ 07052-1424

Ph: (973) 830-7694

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Internal Medicine Doctors in West Orange, NJ

Dr. Lincoln Miller, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1500 Pleasant Valley Way, Suite 201, West Orange, NJ 07052
Phone: 973-966-6400    Fax: 973-514-1587
Dr. David P Dobesh, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 375 Mount Pleasant Ave, West Orange, NJ 07052
Phone: 973-731-9442    Fax: 973-731-2918
Dr. Iftekhar Kadri, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 372 Valley Rd, West Orange, NJ 07052
Phone: 973-736-2600    Fax: 973-736-8355
Dr. Natalie Johnson, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 470 Prospect Ave, Suite 200, West Orange, NJ 07052
Phone: 973-243-0290    Fax: 973-243-1863
Mark Goldberg, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 741 Northfield Ave, Ste 205, West Orange, NJ 07052
Phone: 973-467-1544    Fax: 973-467-9586
Dr. Audrey B Radin,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 80 Main St Ste 300, West Orange, NJ 07052
Phone: 855-619-4448    Fax: 732-784-9918

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