Pritham Pingli Reddy, MD - Medicare Vascular Surgery in Southfield, MI

Pritham Pingli Reddy, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Southfield, Michigan. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Comprehensive Vascular Care Pc, Acute Care Surgeons Pc and his current practice location is 22250 Providence Dr, Suite 555, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 424-5748.

Pritham Pingli Reddy is licensed to practice in Michigan (license number 4301075046) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134332919.

Contact Information

Pritham Pingli Reddy, MD
22250 Providence Dr, Suite 555,
Southfield, MI 48075-4825
(248) 424-5748
(248) 443-1706



Physician's Profile

Full NamePritham Pingli Reddy
GenderMale
SpecialityVascular Surgery
Experience25 Years
Location22250 Providence Dr, Southfield, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Pritham Pingli Reddy graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1134332919
  • Provider Enumeration Date: 05/08/2007
  • Last Update Date: 01/12/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4486749553
  • Enrollment ID: I20071004000104

Medical Identifiers

Medical identifiers for Pritham Pingli Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134332919NPI-NPPES
0P33080OtherMIPTAN
1587302MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 4301075046 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Providence Hospital, Southfield And NoviSouthfield, MIHospital
Ascension St John HospitalDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Comprehensive Vascular Care Pc54967356643
Acute Care Surgeons Pc600295626516

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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. Pritham Pingli Reddy allows following entities to bill medicare on his behalf.
Entity NameComprehensive Vascular Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538136072
PECOS PAC ID: 5496735664
Enrollment ID: O20060713000146

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Entity NameAcute Care Surgeons Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730415753
PECOS PAC ID: 6002956265
Enrollment ID: O20091218000206

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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. Pritham Pingli 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
Pritham Pingli Reddy, MD
22250 Providence Drive, Suite 555,
Southfield, MI 48075

Ph: (248) 424-5748
Pritham Pingli Reddy, MD
22250 Providence Dr, Suite 555,
Southfield, MI 48075-4825

Ph: (248) 424-5748

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Surgery Doctors in Southfield, MI

Violet Onkoba, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 27209 Lahser Rd Ste 128, Southfield, MI 48034
Phone: 248-353-0200    
Kristopher Mahlon George, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075
Phone: 248-849-2600    Fax: 248-849-2610
Khatchadour Hamamdjian, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 27177 Lahser Rd, Suite Number 104, Southfield, MI 48034
Phone: 248-353-6580    Fax: 248-353-0883
Carly Beth Young, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 22250 Providence Dr Ste 703a, Southfield, MI 48075
Phone: 248-849-5862    
Nafisa Kuwajerwala, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 22250 Providence Dr, Suite 700, Southfield, MI 48075
Phone: 248-559-5115    
Vijay K Mittal, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 22250 Providence Drive, Suite 703a, Southfield, MI 48075
Phone: 248-849-5862    Fax: 248-849-8117
Dr. Ivan Kamikovski, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075
Phone: 248-849-3073    

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