V. Aravind Reddy M.D.P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036075574 Issued in IL

Legal business name

V. ARAVIND REDDY M.D.P.C.

Practice address

625 S 5TH St
Suite B
Watseka, IL 60970-1835

Phone

(815) 432-2225

Fax

(815) 432-3623

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. V. Aravind Reddy, M.D.

Title

President

Phone

(815) 432-2225

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16006/brand/1/csg/1/fhir/r4
• Direct secure messaging: v.aravind.reddy.1@15486.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1043306186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S 5TH ST",
            "address_2": "SUITE B",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701835",
            "telephone_number": "815-432-2225",
            "fax_number": "815-432-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S 5TH ST",
            "address_2": "SUITE B",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701835",
            "telephone_number": "815-432-2225",
            "fax_number": "815-432-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Fairman Ave",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701644",
            "country_code": "US",
            "telephone_number": "815-432-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "V. ARAVIND REDDY M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "V.",
        "authorized_official_middle_name": "ARAVIND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-432-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036075574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0003800069",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075574",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200098830A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "v.aravind.reddy.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Teresita Torres, MD
• Onasheho Toweh
• John C Tricou, M.D.
• Barbara Trist, LCSW
• Margaret Ullrich
• Katherine Anne Van Hoveln, NP-C
• Gwen Vana, QMHP
• Mary Patricia Varboncouer
• Destyne Velazquez
• Volunteer Services of Iroquois County

• Specialist in Watseka, IL
• Providers in Watseka, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.