Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. M. Niranjan Reddy, MD

Individual provider Cardiovascular Disease Physician · NPI 1780640102

Dr. M. Niranjan Reddy, MD is an Interventional Cardiology in Wilmington, Ohio. Qualified in 1992, 34 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
34
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

630 W Main St Ste 105
Wilmington, OH 45177-2171
Phone: (937) 283-9888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 540 Lincoln Park Blvd, Kettering, OH 45429-6401 — (937) 298-8058

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 35071418 (OH)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 35071418R (OH)

Record details

NPI number1780640102
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESJanuary 4, 2021
Certification dateAugust 12, 2020
Mailing address540 Lincoln Park Blvd, Suite 200, Dayton, OH 45429-6401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

Other providers in Wilmington