Individual provider Active NPI

Anish Reddy, DO

  • Psychiatry Physician
  • Davenport, IA
National Provider Identifier
1427636950
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO-07050 Issued in IA
Practice address
4455 E 56TH St
Davenport, IA 52807-2995
Phone
(563) 355-2577
Fax
(563) 355-4015
NPI assigned
Mar 29, 2021
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS19945 FL
Psychiatry Physician 2084P0800X DO-07050 IA Primary

Addresses

Primary practice location

4455 E 56TH St
Davenport, IA 52807-2995

Mailing address

10 Timberline CT
Rock Island, IL 61201-6157
Phone (309) 429-7836

Other practice location 1

201 14th St SW
Largo, FL 33770-3133
Phone (727) 588-5704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IA2 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
I20230922003782 FL Practitioner - Psychiatry 9638570997 Reassigns benefits to 1 organization
I20251113000726 IA Practitioner - Psychiatry 9638570997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Practice addresses (Care Compare)

1401 W Central Park Ave
Mercyone Genesis
Davenport, IA 52804-1707
Phone (563) 421-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-07050IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Sep 15, 2025 Accepting new patients
Genesis Health System CurrentSince Sep 15, 2025 Accepting new patients
Genesis Health System Current Accepting new patients
Genesis Health System CurrentSince Sep 15, 2025 Accepting new patients
Genesis Health System CurrentSince Sep 15, 2025 Accepting new patients
Windmoor Healthcare Inc Psychiatry CurrentSince Aug 2, 2023 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

11300 US Highway 19 N
Clearwater, FL 33764
Phone (727) 541-2646

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

4455 E 56th St
Davenport, IA 52807
Phone (563) 355-2577

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1427636950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TIMBERLINE CT",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612016157",
            "telephone_number": "309-429-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 E 56TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072995",
            "telephone_number": "563-355-2577",
            "fax_number": "563-355-4015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 14th St SW",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703133",
            "country_code": "US",
            "telephone_number": "727-588-5704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "ANISH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS19945",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "DO-07050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.