Individual provider Active NPI

Suresh Reddy Mereddy, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Bellevue, WA
National Provider Identifier
1033371463
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD60194904 Issued in WA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110325000459 WA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Sleep Medicine 2668536426 Reassigns benefits to 1 organization
Practice locations: Bellevue, WA; Lakewood, WA

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine, Sleep Medicine
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

LicenseStateTypeSpecialty
R75509AZMDSleep Medicine (Family Medicine) Physician
036.152855ILMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dreamzz Sleep Center PLLC Sleep Medicine CurrentSince Apr 24, 2022 Accepting new patients
Bel-Red Sleep Diagnostic Center LLC CurrentSince Oct 10, 2021 Accepting new patients
City Sleep Lab LLC CurrentSince Jan 23, 2024 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.

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

Verify at the official NPI Registry.