Individual provider Active NPI

Sora H Reddy, M.D.

  • Interventional Cardiology Physician
  • Moline, IL
National Provider Identifier
1285613901
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036092650 Issued in IL
Practice address
1100 36TH Avenue
Moline, IL 61265
Phone
(309) 743-6700
Fax
(309) 764-2042
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 036092650 IL Primary

Addresses

Primary practice location

1100 36TH Avenue
Moline, IL 61265

Mailing address

1236 E Rusholme St Ste 300
Davenport, IA 52803-2473
Phone (563) 324-2992

Other identifiers 3

IdentifierTypeStateIssuer
036092650MedicaidIL
4141408MedicaidIA
P00180487OtherMEDICARE RAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sora.reddymd.p1@direct.cvmedpc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, 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
I20041116000716 IA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3274526645 Reassigns benefits to 3 organizations
I20041206000367 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3274526645 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Medicine PLLCGroup PAC ID 2264334721, 50 clinicians
Unity HealthcareGroup PAC ID 8224931548, 65 clinicians
Trinity Medical CenterGroup PAC ID 2264337518, shared by 4 NPIs, 97 clinicians
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Practice addresses (Care Compare)

1100 36TH Ave
Moline, IL 61265-7127
Phone (309) 743-6700

1236 E Rusholme St
Davenport, IA 52803-2473
Phone (563) 324-2992

1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (563) 264-9100

210 W Elk St
Geneseo, IL 61254-1067
Phone (309) 944-4625

2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5000

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-3180

500 John Deere Rd
Moline, IL 61265-6892
Phone (309) 779-5000

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.95 of 100Reported as group
Quality
70.54
Promoting interoperability
97
Improvement activities
40
Cost
75.13

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41
Varicose vein removal14
Leg revascularization (restoring blood flow)33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Genesis Health System CurrentSince Feb 9, 2021 Accepting new patients
Unity Healthcare CurrentSince Oct 13, 2014 Accepting new patients
Genesis Medical Center, Aledo CurrentSince Feb 1, 2013 Accepting new patients
Trinity Medical Center Current Accepting new patients
Trinity Medical Center CurrentSince Jan 1, 2003 Accepting new patients
Unity Healthcare CurrentSince Oct 13, 2014 Accepting new patients
Cardiovascular Medicine PLLC CurrentSince Jan 1, 2005 Accepting new patients
Genesis Medical Center, Aledo CurrentSince Feb 1, 2013 Accepting new patients
Genesis Medical Center, Aledo CurrentSince Dec 7, 2025 Accepting new patients
Jeffrey S. Leider, MD,PC Past Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

3801 Marquette St
#301
Davenport, IA 52806
Phone (563) 445-4120

1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

409 NW 9th Ave
Aledo, IL 61231
Phone (309) 582-2227

1007 NW 3rd St
Aledo, IL 61231
Phone (309) 582-3701

210 W Elk St
Geneseo, IL 61254
Phone (309) 743-6700

1100 36th Ave
Moline, IL 61265
Phone (309) 743-6700

350 John Deere Rd
Moline, IL 61265
Phone (309) 743-6700

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • Direct secure messaging: sreddy92464@direct.unitypoint.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1285613901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST STE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032473",
            "telephone_number": "563-324-2992",
            "fax_number": "563-324-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 36TH AVENUE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-743-6700",
            "fax_number": "309-764-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SORA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036092650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092650",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4141408",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00180487",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sora.reddymd.p1@direct.cvmedpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1100 36th Avenue",
            "city": "Moline",
            "state": "IL",
            "country_code": "US",
            "postal_code": "61265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.