Active NPI
Parishurama Sankepally Reddy, M.D.
- Nephrology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 01065220A
- Practice address
- 5510 S East St Ste H
Indianapolis, IN 46227-1939 - Phone
- (317) 924-8425
- Fax
- (317) 924-8424
- NPI assigned
- Aug 21, 2006
- Last updated
- Feb 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 01065220 | IN | |
| Nephrology Physician | 207RN0300X | 01065220A | IN | Primary |
Addresses
Primary practice location
5510 S East St Ste H
Indianapolis, IN 46227-1939
Mailing address
120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200892450 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | credentialing@nephdocs.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7836 W Jefferson Blvd
101 Nephrology Associates of Northern India
Fort Wayne, IN 46804-4178
Phone (260) 494-3484
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01065220 | IN | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Wayne Vascular Care LLC | Nephrology | Current | Accepting new patients |
| Nephrology Associates of Northern Indiana, Inc | Nephrology | Current | Accepting new patients |
| Union Hospital Inc. | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000
13648 Olivia Way
#B
Fishers, IN 46037
1833 Magnavox Way
#100
Fort Wayne, IN 46804
Phone (260) 918-0997
7836 W Jefferson Blvd
Ste 101
Fort Wayne, IN 46804
569 Tyler St
Gary, IN 46402
Phone (260) 885-3300
5510 S East St
Ste H
Indianapolis, IN 46227
Phone (317) 924-8420
5540 S East St
Ste 100
Indianapolis, IN 46227
Phone (317) 634-0920
6820 Parkdale Pl
Ste 105
Indianapolis, IN 46254
Phone (317) 328-6730
90 W 86th Ave
Merrillville, IN 46410
Phone (219) 791-1555
Networks
- IL PPO Downstate
- IL HMO C-SNP
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- preddy@unionhealth.cernerdirect.com
- preddy10738@direct.franciscanalliance.org
- preddy24007@direct.acumenmd.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Fort Wayne, IN
- NPI 1578505814
-
dba Nephrology Associates of Northern Indiana PC
- Ambulatory Surgical Clinic/Center
- Fort Wayne, IN
- NPI 1225684368
Nephrology
-
dba Indiana Kidney Institute
- Ambulatory Surgical Clinic/Center
- Indianapolis, IN
- NPI 1548785116
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
-
dba Community Hospital South
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
-
dba Franciscan Health Indianapolis Orthopedic Hospital
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
dba Franciscan Health - Indianapolis
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Franklin, IN
- NPI 1346248986
-
dba JMH Immediate/Occupation Health
- Occupational Medicine Clinic/Center
- Franklin, IN
- NPI 1679577357
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1003922584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 22ND ST STE 200",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231563",
"telephone_number": "630-573-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 S EAST ST STE H",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271939",
"telephone_number": "317-924-8425",
"fax_number": "317-924-8424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "PARISHURAMA",
"middle_name": "SANKEPALLY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IN",
"license": "01065220",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IN",
"license": "01065220A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200892450",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "credentialing@nephdocs.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "120 W 22nd St Ste 200",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605231563",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.