Janna Reddy Pathi, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

31000 Issued in KY

Practice address

1201 Pine St
Eldorado, IL 62930-1634

Phone

(618) 273-3361

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

General Surgery

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ferrell Hospital Community FoundationGroup PAC ID 1355389453, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpathi142222@direct.deaconess.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ferrell Hospital Community Foundation

  • Critical Access Hospital
  • Eldorado, IL
  • NPI 1194713404
  Medicare reassignment Care Compare group NPD
• Ferrell Hospital Community Foundation

  • Multi-Specialty Clinic/Center
  • Harrisburg, IL
  • NPI 1124905351

  Surgery

  NPD
• Ferrell Hospital Community Foundation

  • Critical Access Hospital
  • Eldorado, IL
  • NPI 1871642439

  Surgery

  NPD
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • MC Leansboro, IL
  • NPI 1689217820
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • Carmi, IL
  • NPI 1134650997

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • Harrisburg, IL
  • NPI 1184202392

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Critical Access Hospital
  • Eldorado, IL
  • NPI 1194713404
  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • Eldorado, IL
  • NPI 1457586620

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • MC Leansboro, IL
  • NPI 1689217820

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • Eldorado, IL
  • NPI 1700011046

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1154309292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470148",
            "telephone_number": "270-298-5417",
            "fax_number": "270-298-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PINE ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301634",
            "telephone_number": "618-273-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHI",
        "first_name": "JANNA",
        "middle_name": "REDDY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.140240",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "31000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1065454",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64310006",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000042142",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000538224",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020025142",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Ortiz
• Mary Ann Ozee, APN FNP-C
• Madyson Elise Parker, R.D.
• Kristin Parks, RN
• Vanessa Ann Pastrovich, D.M.D
• Rachael Colleen Patton
• Alyssa Payne, RN
• Marguerita Ann Pearce, MSW,LCSW
• Maranda Pedigo
• Jamie Penrod, RN

• Surgery Physician in Eldorado, IL
• Providers in Eldorado, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.

Verify at the official NPI Registry.