Geetha M Reddy S C

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036-100405 Issued in IL

Legal business name

GEETHA M REDDY S C

Practice address

1880 W Winchester Rd
Suite 207
Libertyville, IL 60048-5341

Phone

(847) 816-3703

Fax

(847) 816-4534

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Geetha Muddasani Reddy, MDNPI 1174545453

Title

Provider

Phone

(847) 816-3703

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Geetha M Reddy MD F A C C Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geetha M Reddy, MD

  • Cardiovascular Disease Physician
  • Libertyville, IL
  • NPI 1174545453
  Medicare reassignment Care Compare group NPD Authorized official
• Linda S Doyle, NP-C

  • Family Nurse Practitioner
  • Libertyville, IL
  • NPI 1295235307
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1295802429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600484127",
            "telephone_number": "847-816-3703",
            "fax_number": "847-816-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W WINCHESTER RD",
            "address_2": "SUITE 207",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485341",
            "telephone_number": "847-816-3703",
            "fax_number": "847-816-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEETHA M REDDY S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_middle_name": "MUDDASANI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "847-816-3703",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-100405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004928185",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2706821",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NONHMO",
            "identifier": "7394083",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100405",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0834054009",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "113855",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060067327",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geetha M Reddy MD F A C C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria T Garcia
• Victoria Garelli
• Katelin Gartner
• Gastroenterologists LTD
• Gastroenterology Consultants of Libertyville LTD
• Eric J Geiselman
• Andrew Jonathon Geiser, MD
• Julia Gekhter, LCSW
• George B. Elvove, M.D., PC
• George Hvostik, MD, S.C.

• Cardiovascular Disease Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.