Individual provider Active NPI

Kiran Kumar Reddy Busireddy, M.D

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1558749218
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
76426-20 Issued in WI
Practice address
601 N 30TH St
Omaha, NE 68131-2128
Phone
(402) 449-4000
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 76426-20 WI Primary
Student in an Organized Health Care Education/Training Program 390200000X TN

Addresses

Primary practice location

601 N 30TH St
Omaha, NE 68131-2128

Mailing address

2665 Howard CMNS
Apt 13
Howard, WI 54313-9379
Phone (253) 397-9411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 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
I20220314001846 WI Practitioner - Diagnostic Radiology 0042585390 Reassigns benefits to 8 organizations
I20250807002906 MN Practitioner - Diagnostic Radiology 0042585390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians
Medical X-Ray Consultants LTDGroup PAC ID 3274447313, 38 clinicians
Tomah Memorial Hospital IncGroup PAC ID 6901897016, shared by 4 NPIs, 54 clinicians

Practice addresses (Care Compare)

100 County Rd B
Shawano, WI 54166-7072
Phone (920) 358-1520

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

201 W Northland Ave
Suite a
Appleton, WI 54911-2600
Phone (920) 996-0724

3916 N Intertech CT
Appleton, WI 54913-6957
Phone (715) 832-2200

4130 State Rd
Suite 93
Eau Claire, WI 54701-7806
Phone (715) 830-9507

501 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-2181

900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 858-1777

Hospital & facility affiliations

  • Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
  • Spooner Health System Hospital, Spooner, WI, CCN 521332
  • Thedacare Medical Center - Shawano Hospital, Shawano, WI, CCN 521346

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Appleton, S.C. Diagnostic Radiology CurrentSince Jan 31, 2022 Accepting new patients
Black River Health Inc CurrentSince Feb 2, 2026 Accepting new patients
Tomah Memorial Hospital Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jun 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Nov 1, 2025 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Apr 23, 2025 Accepting new patients
Black River Health Inc CurrentSince Feb 2, 2026 Accepting new patients
Wisconsin Radiology Specialists, S C Past Accepting new patients
Thedacare, Incorporated PastSince Mar 13, 2022 Accepting new patients
Medical Xray Consultants, LTD PastSince May 16, 2021 Accepting new patients

Locations (25 of 30)

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

12554 Riata Vista Cir
Fl 1
Austin, TX 78727

1000 Oakleaf Way
Altoona, WI 54720
Phone (715) 831-8130

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

610 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-4311

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500

257 W Saint George Ave
Grantsburg, WI 54840
Phone (715) 463-5353

N88W14275 Main St
Menomonee Fls, WI 53051
Phone (262) 415-2001

12831 N Port Washington Rd
Mequon, WI 53097
Phone (262) 643-1300

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

4935 S 76th St
Milwaukee, WI 53220
Phone (414) 567-3211

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

10180 Washington Ave
Ste 101
Mount Pleasant, WI 53177
Phone (414) 973-7830

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-3973

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

113 4th Ave
Shell Lake, WI 54871
Phone (715) 468-7833

Interoperability endpoints

  • Direct secure messaging: kbusireddy801456@direct.hopkinsmedicine.org

Organizations & group practices 13

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 13

Hospital & facility affiliations 6

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1558749218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 HOWARD CMNS",
            "address_2": "APT 13",
            "city": "HOWARD",
            "state": "WI",
            "postal_code": "543139379",
            "telephone_number": "253-397-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312128",
            "telephone_number": "402-449-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSIREDDY",
        "first_name": "KIRAN",
        "middle_name": "KUMAR REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "76426-20",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.