Active NPI
Deepak Kolagatla Reddy, D.O.
- Emergency Medicine Physician
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101016754
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2177 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Gouverneur Hospital | Current | Accepting new patients | |
| Massena Hospital, Inc | Current | Accepting new patients | |
| West Fairview Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Crisp Regional Hospital Inc | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Crisp Regional Hospital, Inc | Current | Accepting new patients | |
| Olive Branch Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Methodist University Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group of Kentucky PLLC | Emergency Medicine | Current | Accepting new patients |
| Trigg County Hospital, Inc | Current | Accepting new patients | |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Em Alliance Texas, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Gouverneur Hospital | Current | Accepting new patients | |
| Scott County Community Hospital, Inc. | Emergency Medicine | Current | Accepting new patients |
| App of Tennessee Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Hardin Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Massena Hospital Inc | Current | Accepting new patients | |
| Ess of Eufaula, LLC | Emergency Medicine | Current | Accepting new patients |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Methodist North Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Germantown Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Spring Creek Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Methodist South Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Gordon Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Staffing Solutions Inc | Emergency Medicine | Current | Accepting new patients |
| App of Alabama Ed PLLC | Emergency Medicine | Current | Accepting new patients |
| Trigg County Hospital, Inc | Emergency Medicine | Current | Accepting new patients |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Gordon Emergency Physicians, LLC | Emergency Medicine | Current | 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
- 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.
-
dba Crisp Regional Hospital
- General Acute Care Hospital
- Cordele, GA
- NPI 1700851649
-
- Emergency Medicine Physician
- Amarillo, TX
- NPI 1902621329
-
dba FHN-Memorial Hospital
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- Emergency Medicine Physician
- Russellville, AL
- NPI 1659646040
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
TN
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Eufaula, AL
- NPI 1013650456
-
- Emergency Medicine Physician
- Germantown, TN
- NPI 1518747526
-
- Emergency Medicine Physician
- Calhoun, GA
- NPI 1205290467
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Crisp Regional Hospital
- General Acute Care Hospital
- Cordele, GA
- NPI 1700851649
-
dba FHN-Memorial Hospital
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
dba Northwest Texas Healthcare System
- General Acute Care Hospital
- Amarillo, TX
- NPI 1467442418
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.