Active NPI
Suresh Reddy Mereddy, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- MD60194904
- Practice address
- 1414 116TH Ave NE Ste F
Bellevue, WA 98004-3801 - Phone
- (425) 451-8417
- Fax
- (425) 455-4089
- NPI assigned
- Jun 26, 2008
- Last updated
- Jan 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60194904 | WA | |
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | R75509 | AZ | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 036.152855 | IL | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD60194904 | WA | Primary |
Addresses
Primary practice location
1414 116TH Ave NE Ste F
Bellevue, WA 98004-3801
Mailing address
13204 SE 306TH St
Auburn, WA 98092-3278
Phone (914) 409-6393
Other practice location 1
4509 Talbot Rd S Ste 102
Renton, WA 98055-6294
Phone (914) 409-6393
Other practice location 2
401 15th Ave SE
Puyallup, WA 98372-3715
Phone (914) 409-6393
Other practice location 3
1755 Park St Ste 200
Naperville, IL 60563-8404
Phone (425) 341-3421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Hospitalist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1414 116TH Ave NE
Suite F
Bellevue, WA 98004-3801
Phone (914) 409-6393
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R75509 | AZ | MD | Sleep Medicine (Family Medicine) Physician |
| 036.152855 | IL | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dreamzz Sleep Center PLLC | Sleep Medicine | Current | Accepting new patients |
| Bel-Red Sleep Diagnostic Center LLC | Current | Accepting new patients | |
| City Sleep Lab LLC | Current | Accepting new patients |
Locations
1414 116th Ave NE
Ste F
Bellevue, WA 98004
Phone (425) 451-8417
34709 9th Ave S
Ste B100
Federal Way, WA 98003
Phone (206) 839-8001
11300 Bridgeport Way SW
Ste A
Lakewood, WA 98499
Phone (253) 984-6200
Organizations & group practices 4
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bellevue, WA
- NPI 1447413653
-
- Sleep Medicine (Internal Medicine) Physician
- Federal Way, WA
- NPI 1013651447
-
- Sleep Medicine (Internal Medicine) Physician
- Naperville, IL
- NPI 1356951180
-
- Clinical Medical Laboratory
- Lakewood, WA
- NPI 1932383304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1033371463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13204 SE 306TH ST",
"city": "AUBURN",
"state": "WA",
"postal_code": "980923278",
"telephone_number": "914-409-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 116TH AVE NE STE F",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043801",
"telephone_number": "425-451-8417",
"fax_number": "425-455-4089"
}
],
"practiceLocations": [
{
"address_1": "4509 Talbot Rd S Ste 102",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980556294",
"country_code": "US",
"telephone_number": "914-409-6393",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 15th Ave SE",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983723715",
"country_code": "US",
"telephone_number": "914-409-6393",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1755 Park St Ste 200",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605638404",
"country_code": "US",
"telephone_number": "425-341-3421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEREDDY",
"first_name": "SURESH",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60194904",
"primary": false
},
{
"code": "207QS1201X",
"taxonomy_group": "",
"desc": "Family Medicine, Sleep Medicine",
"state": "AZ",
"license": "R75509",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IL",
"license": "036.152855",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "WA",
"license": "MD60194904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.