Individual provider Active NPI

Syam Vasireddy, MD, MS

  • Diagnostic Radiology Physician
  • Springfield, IL
National Provider Identifier
1376755272
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
125-049834 Issued in IL
Practice address
701 N 1St St
Memorial Medical Center Department of Radiology
Springfield, IL 62781-0001
Phone
(217) 788-7021
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 125-049834 IL Primary

Addresses

Primary practice location

701 N 1St St
Memorial Medical Center Department of Radiology
Springfield, IL 62781-0001

Mailing address

701 N 1St St
Memorial Medical Center Department of Radiology
Springfield, IL 62781-0001
Phone (217) 788-7021

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110426000398 IL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6507041134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naperville Radiologists SCGroup PAC ID 3870492572, 16 clinicians

Practice addresses (Care Compare)

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-3425

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
68.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-049834ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naperville Radiologists, SC Diagnostic Radiology CurrentSince Sep 14, 2015 Accepting new patients
Springfield Clinic, LLP Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients

Locations

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

801 S Washington St
Fl 3
Naperville, IL 60540
Phone (630) 527-5197

9500 Bryn Mawr Ave
Ste 300
Rosemont, IL 60018
Phone (847) 410-5706

Organizations & group practices 3

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 2

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1376755272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 1ST ST",
            "address_2": "MEMORIAL MEDICAL CENTER DEPARTMENT OF RADIOLOGY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810001",
            "telephone_number": "217-788-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 1ST ST",
            "address_2": "MEMORIAL MEDICAL CENTER DEPARTMENT OF RADIOLOGY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810001",
            "telephone_number": "217-788-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASIREDDY",
        "first_name": "SYAM",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125-049834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.