Swetha Sannareddy, PA
Individual provider Active NPI Physician Assistant · Plano, IL
NPI 1104339910 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1104339910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085006315 (IL)
- Practice address
- 115 E South St
Plano, IL 60545-1417 - Phone
- (630) 552-7166
- NPI assigned
- Nov 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dupage Medical Group LTD
Woodridge Clinic SC
Practice addresses (Care Compare)
1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (888) 385-9669
15884 W 127TH St
Suite H
Lemont, IL 60439-7425
Phone (630) 754-8721
1800 N Main St
Wheaton, IL 60187-3149
Phone (630) 665-6200
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121
220 Springfield Dr
Suite 300
Bloomingdale, IL 60108-2215
Phone (630) 469-9200
40 S Clay St
Hinsdale, IL 60521-3257
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180
7530 Woodward Ave
Suite a
Woodridge, IL 60517-3100
Phone (630) 910-1177
Hospital & facility affiliations
- Advocate Good Samaritan Hospital
- Edward Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220610000326 | IL | Practitioner - Physician Assistant | 5698153278 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085006315 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current |
Accepting new patients | |
| Woodridgeclinic S.C | Current |
Accepting new patients | |
| Dupage Medical Group LTD | Current |
Accepting new patients |
Locations
3900 Gabrielle Ln
Unit 9130
Aurora, IL 60598
15884 W 127th St
Ste D
Lemont, IL 60439
15884 W 127th St
Ste H
Lemont, IL 60439
Phone (630) 754-8710
805 S Main St
Lombard, IL 60148
Phone (630) 495-2333
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
7530 Woodward Ave
Ste A
Woodridge, IL 60517
Phone (630) 910-1177
7530 Woodward Ave
Woodridge, IL 60517
Phone (630) 427-1500
Interoperability endpoints
- ssannareddy358076@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085006315 | IL | Yes |
Addresses
Primary practice location
115 E South St
Plano, IL 60545-1417
Mailing address
3323 Farmgate Dr
Naperville, IL 60564-5930
Phone (217) 521-9414
Other practice location 1
1041 Station Dr
Oswego, IL 60543-5007
Phone (630) 551-3666
Other providers in Plano, IL
- Reiland Therapy Services, P.C.
- Nancy Lynn Reiland
- Riverglen Ear, Nose & Throat and Audiology, LLC
- Robert Robbins
- Yasmine Salgado
- Catalina Selva Contreras
- Shrenik D Shah
- Mishan Talbert
- TC Eyecare, PC
- The Family Recovery Centers-Plano, PLLC
All providers in Plano, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.