NPIMap

Individual provider Active NPI

Rajender Reddy Polireddy, M.D

  • Internal Medicine Physician
  • Merrill, WI
National Provider Identifier
1497998173
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54478-020 Issued in WI
Practice address
1205 O Day St
Marshfield Clinic - Merrill Center
Merrill, WI 54452-3416
Phone
(715) 539-0101
NPI assigned
Apr 11, 2009
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.124347 IL
Internal Medicine Physician 207R00000X 54478-020 WI Primary

Addresses

Primary practice location

1205 O Day St
Marshfield Clinic - Merrill Center
Merrill, WI 54452-3416

Mailing address

1000 N Oak Ave
Marshfield Clinic
Marshfield, WI 54449-5703
Phone (715) 387-5211

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20101129000769 WI Practitioner - Internal Medicine 5597951871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

1205 O Day St
Merrill, WI 54452-3416
Phone (715) 539-0101

1207 O Day St
Merrill, WI 54452-3416
Phone (715) 539-9990

2727 Plaza Dr
Wausau, WI 54401-4129
Phone (715) 847-3000

2727 Plaza Dr
Marshfield, WI 54449-5703

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.6 of 100Reported as group
Quality
62.55
Promoting interoperability
100
Improvement activities
40
Cost
76.03

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.124347ILMDInternal Medicine Physician
54478-020WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Internal Medicine Current Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 9, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 9, 2021 Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 30, 2010 Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1205 O Day St
Merrill, WI 54452
Phone (715) 539-0101

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: rajender.polireddy@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 5

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1239408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1497998173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "address_2": "MARSHFIELD CLINIC",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 O DAY ST",
            "address_2": "MARSHFIELD CLINIC - MERRILL CENTER",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544523416",
            "telephone_number": "715-539-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIREDDY",
        "first_name": "RAJENDER",
        "middle_name": "REDDY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-11",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.124347",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "54478-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1205 O Day St",
            "address_2": "Marshfield Clinic - Merrill Center",
            "city": "Merrill",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544523416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merrill, WI

Sources for this page

Verify at the official NPI Registry.