Individual provider Active NPI

Deepak Kolagatla Reddy, D.O.

  • Emergency Medicine Physician
  • Livonia, MI
National Provider Identifier
1518087568
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101016754 Issued in MI
Practice address
38935 Ann Arbor Rd
Livonia, MI 48150-3397
Phone
(734) 632-0175
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036144196 IL
Emergency Medicine Physician 207P00000X 5101016754 MI Primary

Addresses

Primary practice location

38935 Ann Arbor Rd
Livonia, MI 48150-3397

Mailing address

5529 Greenway Dr
Trenton, MI 48183-7209
Phone (734) 775-7388

Other practice location 1

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

Other practice location 2

1045 W Stephenson St
Freeport, IL 61032-4899
Phone (815) 599-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, NY, AL, KY, IL, FL, MN, MS, TX10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20101108001006 TN Practitioner - Emergency Medicine 0840356028 Reassigns benefits to 10 organizations
I20110825000354 GA Practitioner - Emergency Medicine 0840356028 Reassigns benefits to 3 organizations
I20150505002680 NY Practitioner - Emergency Medicine 0840356028 Reassigns benefits to 3 organizations
I20151028002309 AL Practitioner - Emergency Medicine 0840356028 Reassigns benefits to 2 organizations
I20161209001952 KY Practitioner - Emergency Medicine 0840356028 Reassigns benefits to 2 organizations
I20190530002724 IL Practitioner - Emergency Medicine 0840356028 Reassigns benefits to 2 organizations
I20230926001973 FL Practitioner - Emergency Medicine 0840356028 Reassigns benefits to 1 organization
I20231226000700 MN Practitioner - Emergency Medicine 0840356028 Reassigns benefits to 1 organization
I20240322003755 MS Practitioner - Emergency Medicine 0840356028 Reassigns benefits to 1 organization
I20250320002812 TX Practitioner - Emergency Medicine 0840356028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians
Em Alliance Texas PLLCGroup PAC ID 4587192430, 88 clinicians
Crisp Regional Hospital IncGroup PAC ID 5991616336, 65 clinicians

Practice addresses (Care Compare)

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

1501 S Coulter St
NW TX Healthcare Sys
Amarillo, TX 79106-1770
Phone (561) 203-0611

902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2177TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota CurrentSince Mar 11, 2024 Accepting new patients
Gouverneur Hospital CurrentSince Apr 1, 2024 Accepting new patients
Massena Hospital, Inc CurrentSince Apr 1, 2024 Accepting new patients
West Fairview Emergency Physicians LLC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Mar 11, 2024 Accepting new patients
Crisp Regional Hospital Inc CurrentSince Jan 21, 2025 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Jul 21, 2025 Accepting new patients
Crisp Regional Hospital, Inc CurrentSince Jan 21, 2025 Accepting new patients
Olive Branch Emergency Physicians LLC Emergency Medicine CurrentSince Feb 11, 2024 Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 11, 2024 Accepting new patients
Concord Medical Group of Kentucky PLLC Emergency Medicine CurrentSince Mar 14, 2024 Accepting new patients
Trigg County Hospital, Inc CurrentSince Mar 5, 2017 Accepting new patients
Canton-Potsdam Hospital CurrentSince Apr 1, 2024 Accepting new patients
Em Alliance Texas, PLLC Emergency Medicine CurrentSince Jan 14, 2025 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Dec 14, 2024 Accepting new patients
Gouverneur Hospital CurrentSince Apr 1, 2024 Accepting new patients
Scott County Community Hospital, Inc. Emergency Medicine CurrentSince Mar 5, 2018 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Mar 4, 2017 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine Current Accepting new patients
Hardin Emergency Group LLC Emergency Medicine CurrentSince May 24, 2015 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Massena Hospital Inc CurrentSince Apr 1, 2024 Accepting new patients
Ess of Eufaula, LLC Emergency Medicine CurrentSince Feb 18, 2024 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Jun 20, 2017 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 11, 2024 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 11, 2024 Accepting new patients
Spring Creek Emergency Physicians PLLC Emergency Medicine CurrentSince Apr 5, 2017 Accepting new patients
Canton-Potsdam Hospital CurrentSince Apr 1, 2024 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Jul 21, 2025 Accepting new patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 11, 2024 Accepting new patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 27, 2016 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Jun 3, 2016 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Mar 4, 2017 Accepting new patients
Trigg County Hospital, Inc Emergency Medicine CurrentSince Mar 5, 2017 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Jun 20, 2017 Accepting new patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 27, 2016 Accepting new patients
Hargrave Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Tullahoma Physicians Group, PLLC Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Tennessee Em-I Medical Services PC Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations (25 of 46)

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

9401 Summit Centre Way
Orlando, FL 32810
Phone (407) 220-7930

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

100 Medical Center Dr
Princeton, KY 42445
Phone (270) 365-0300

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7402 Lee Hwy
Chattanooga, TN 37421
Phone (423) 242-9750

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 43

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.

View all 43

Hospital & facility affiliations 3

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1518087568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 GREENWAY DR",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481837209",
            "telephone_number": "734-775-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38935 ANN ARBOR RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503397",
            "telephone_number": "734-632-0175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324864",
            "country_code": "US",
            "telephone_number": "815-599-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324899",
            "country_code": "US",
            "telephone_number": "815-599-6000",
            "fax_number": "815-599-7974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "DEEPAK",
        "middle_name": "KOLAGATLA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036144196",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101016754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.