Swetha Dhanireddy, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036163372 Issued in IL

Practice address

7900 Rollins Rd Ste B1300
Gurnee, IL 60031-1512

Phone

(224) 251-2020

Fax

(224) 251-2010

NPI assigned

Jun 23, 2015

Last updated

Feb 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Ophthalmology

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Osu Eye Physicians and Surgeons, LLCGroup PAC ID 5698671881, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Endeavor Health Medical Group

  dba NorthShore University HealthSystem Faculty Practice Associates

  • Allergy & Immunology Physician
  • Evanston, IL
  • NPI 1497701882

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Osu Eye Physicians and Surgeons LLC

  • Ophthalmology Physician
  • Columbus, OH
  • NPI 1861437923

  IL

  Medicare reassignment Care Compare group NPD
• Endeavor Health Medical Group

  dba NorthShore Anesthesia Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD

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

• Endeavor Health Clinical Operations

  dba Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1659753960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 ROLLINS RD STE B1300",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311512",
            "telephone_number": "224-251-2020",
            "fax_number": "224-251-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 ROLLINS RD STE B1300",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311512",
            "telephone_number": "224-251-2020",
            "fax_number": "224-251-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Olentangy River Rd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432123153",
            "country_code": "US",
            "telephone_number": "614-293-8116",
            "fax_number": "614-293-5315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHANIREDDY",
        "first_name": "SWETHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35147038",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036163372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006713",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Narendra M Desai, MD
• Henry Deters
• Sonja M Dewey, MS, LMFT
• Paige Deyoung
• Hosep H Deyrmenjian, M.D.
• Inderpreet Dhillon, PHARMD
• Diabetes Osteoporosis Thyroid Endocrine Center LLC
• Eliza Diaconescu, M.D.
• Jaime Dickinson
• Salima Din, MD

• Ophthalmology Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.

Verify at the official NPI Registry.