Individual provider Active NPI

Avinish Devuni Reddy

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1245625953
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01080373A Issued in IN
Practice address
1740 W Taylor St
None
Chicago, IL 60612-7232
Phone
(866) 600-2273
NPI assigned
Mar 31, 2015
Last updated
May 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IL
Internal Medicine Physician 207R00000X 01080373A IN Primary
Hospitalist Physician 208M00000X 036145626 IL

Addresses

Primary practice location

1740 W Taylor St
None
Chicago, IL 60612-7232

Mailing address

942 Kendall CT
None
Crown Point, IN 46307-2679
Phone (219) 308-5811

Other practice location 1

4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 759-4323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181115000054 IN Practitioner - Hospitalist 1254631344 Reassigns benefits to 2 organizations
I20201014001447 IL Practitioner - Internal MedicinePractitioner - Hospitalist 1254631344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Dec 3, 2018 Accepting new patients
Cogent Healthcare of Illinois, LLC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Dec 3, 2018 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Jan 28, 2019 Accepting new patients

Locations

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: adreddy@yourcarecommunity.org
  • Direct secure messaging: avinish.reddy@398599422017540.direct.elationemr.com

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1245625953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 KENDALL CT",
            "address_2": "NONE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072679",
            "telephone_number": "219-308-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "address_2": "NONE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "866-600-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 W Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600508409",
            "country_code": "US",
            "telephone_number": "815-759-4323",
            "fax_number": "815-759-4948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "AVINISH",
        "middle_name": "DEVUNI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01080373A",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036145626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.