NPIMap

Individual provider Active NPI

Suresh D. Reddy, M.D.

  • Family Medicine Physician
  • Merrillville, IN
National Provider Identifier
1437117249
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01038650A Issued in IN
Practice address
8777 Broadway
Suite a
Merrillville, IN 46410-6693
Phone
(219) 756-0960
Fax
(219) 756-0961
NPI assigned
May 2, 2006
Last updated
Jan 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01038650A IN Primary

Addresses

Primary practice location

8777 Broadway
Suite a
Merrillville, IN 46410-6693

Mailing address

8777 Broadway
Suite a
Merrillville, IN 46410-6693
Phone (219) 756-0960

Other identifiers 1

IdentifierTypeStateIssuer
200013970MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040507000553 IN Practitioner - Family Practice 2961491758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians
Suresh D. Reddy, MD, LLCGroup PAC ID 4284604612, 3 clinicians

Practice addresses (Care Compare)

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

8777 Broadway
Suite a
Merrillville, IN 46410-6694
Phone (219) 756-0960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.94 of 100Reported as individual
Quality
82.97
Improvement activities
40
Cost
79.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01038650AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suresh D. Reddy, MD, LLC Family Medicine CurrentSince May 1, 2004 Accepting new patients

Locations

8777 Broadway
Ste A
Merrillville, IN 46410
Phone (219) 756-0960

Interoperability endpoints

  • Direct secure messaging: sreddy7527@themethodisthospitals.direct-ci.com

Organizations & group practices 2

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 7

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1437117249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 BROADWAY",
            "address_2": "SUITE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106693",
            "telephone_number": "219-756-0960",
            "fax_number": "219-756-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 BROADWAY",
            "address_2": "SUITE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106693",
            "telephone_number": "219-756-0960",
            "fax_number": "219-756-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SURESH",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01038650A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200013970",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.