Sushma Reddy, MD
NPI 1538696158 · Obstetrics & Gynecology Physician · Hendersonville, NC
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sushma Reddy, MD is a Obstetrics & Gynecology Physician provider in Hendersonville, NC (NPI 1538696158).
Provider details
- NPI number
- 1538696158
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 33995 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
12 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 12 | $77 |
Typical Medicare-allowed amounts for these services range $77–$77 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (3)
- 1288 Valley View DrCouncil Bluffs, IA 51503-5245Phone: (712) 328-9100
- 1401 Jefferson HwyNew Orleans, LA 70121-2426Phone: (504) 842-3260
- 7500 Mercy RdOmaha, NE 68124-2319Phone: (402) 398-6060
Registry dates
- Enumerated
- 2017-05-13
- Last updated
- 2024-12-09
- Certified
- 2024-12-09
Frequently asked questions
- What is Sushma Reddy's NPI number?
- Sushma Reddy's National Provider Identifier (NPI) is 1538696158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sushma Reddy's specialty?
- Sushma Reddy is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Sushma Reddy located?
- Sushma Reddy's practice location on file with NPPES is 617 6th Ave W, Hendersonville, NC 28739-3503.
- What is Sushma Reddy's phone number?
- The practice phone number listed in the NPPES registry for Sushma Reddy is (828) 694-7642.
- Does Sushma Reddy accept Medicare?
- Sushma Reddy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sushma Reddy's NPI active?
- Yes — Sushma Reddy's NPI (1538696158) is active in the NPPES registry as of the last update on 2024-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.