Shanmugapriya Reddy, MD
NPI 1710039045 · Rheumatology Physician · Riverview, FL
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shanmugapriya Reddy, MD is a Rheumatology Physician provider in Riverview, FL (NPI 1710039045).
Provider details
- NPI number
- 1710039045
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME96110 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,628 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 581 | $126 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 458 | $17 |
| Administration of Non-Hormonal Anti-Neoplastic Chemotherapy Under Skin Or Into Muscle96401 | 309 | $67 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 269 | $129 |
| Infusion Into a Vein for Therapy, Prevention, Or Diagnosis, 1 Hour Or Less96365 | 11 | $62 |
Typical Medicare-allowed amounts for these services range $17–$129 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 21 | 19 |
| Methotrexate Sodiumbrand: Methotrexate | 15 | 13 |
| Prednisone | 13 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$113,581 across 154 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 4002 Sun City Center Blvd Unit 101Sun City Center, FL 33573-5208Phone: (813) 672-2243
- 3909 Galen Ct Ste 102Sun City Center, FL 33573-6824Phone: (813) 672-2243
- 26847 Foggy Creek Rd Ste 101Wesley Chapel, FL 33544-6776Phone: (813) 672-2243
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2025-01-30
- Certified
- 2025-01-30
Frequently asked questions
- What is Shanmugapriya Reddy's NPI number?
- Shanmugapriya Reddy's National Provider Identifier (NPI) is 1710039045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shanmugapriya Reddy's specialty?
- Shanmugapriya Reddy is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Shanmugapriya Reddy located?
- Shanmugapriya Reddy's practice location on file with NPPES is 11952 Boyette Rd, Riverview, FL 33569-5601.
- What is Shanmugapriya Reddy's phone number?
- The practice phone number listed in the NPPES registry for Shanmugapriya Reddy is (813) 672-2243.
- Does Shanmugapriya Reddy accept Medicare?
- Shanmugapriya Reddy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shanmugapriya Reddy's NPI active?
- Yes — Shanmugapriya Reddy's NPI (1710039045) is active in the NPPES registry as of the last update on 2025-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.