Active NPI
Kiran Kumar Reddy Busireddy, M.D
- Diagnostic Radiology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 76426-20
- 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
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 |
|---|---|---|---|---|
| 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, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Tomah Memorial Hospital Inc
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
- Ascension Columbia St Marys Hospital Milwaukee
- Ascension SE Wisconsin Hospital
- Spooner Health System
- Thedacare Medical Center - Shawano
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Appleton, S.C. | Diagnostic Radiology | Current | Accepting new patients |
| Black River Health Inc | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Diagnostic Radiology | Current | Accepting new patients |
| Medical X-Ray Consultants, LTD | Diagnostic Radiology | Current | Accepting new patients |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Premier Radiology Wisconsin, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Black River Health Inc | Current | Accepting new patients | |
| Wisconsin Radiology Specialists, S C | Past | Accepting new patients | |
| Thedacare, Incorporated | Past | Accepting new patients | |
| Medical Xray Consultants, LTD | Past | 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
- 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.
-
- Vascular & Interventional Radiology Physician
- Alexandria, MN
- NPI 1386601383
Diagnostic Radiology, WI
-
- Diagnostic Radiology Physician
- Mount Pleasant, WI
- NPI 1952951154
-
- Diagnostic Radiology Physician
- Appleton, WI
- NPI 1841229093
-
- Critical Access Hospital
- Black River Falls, WI
- NPI 1811940331
-
- Critical Access Hospital
- Tomah, WI
- NPI 1184765240
-
- Neurological Surgery Physician
- Neenah, WI
- NPI 1578516803
-
- Rural Health Clinic/Center
- Black River Falls, WI
- NPI 1255183182
-
- Medicare Defined Swing Bed Hospital Unit
- Tomah, WI
- NPI 1205978046
-
- Neurological Surgery Physician
- Alexandria, MN
- NPI 1679838023
-
- Family Medicine Physician
- New London, WI
- NPI 1376656959
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
- Critical Access Hospital
- Spooner, WI
- NPI 1518982628
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.