Individual provider Active NPI

Sreenivas Guddeti Reddy, MD

  • Vascular & Interventional Radiology Physician
  • Hinsdale, IL
National Provider Identifier
1689664807
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036096152 Issued in IL
Practice address
7 N Grant St
Hinsdale, IL 60521-3365
Phone
(708) 354-8881
Fax
(708) 354-8340
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01053878 IN
Diagnostic Radiology Physician 2085R0202X 036096152 IL
Vascular & Interventional Radiology Physician 2085R0204X 01053878 IN
Vascular & Interventional Radiology Physician 2085R0204X 036096152 IL Primary

Addresses

Primary practice location

7 N Grant St
Hinsdale, IL 60521-3365

Mailing address

7 N Grant St
Hinsdale, IL 60521-3365
Phone (708) 354-8881

Other practice location 1

412 63rd St
Downers Grove, IL 60516-2000
Phone (708) 354-8881

Other identifiers 1

IdentifierTypeStateIssuer
200339250MedicaidIN

Other names 1

  • Sreenivas R Guddeti Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060202000233 IL Practitioner - Interventional RadiologyPractitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 3476459801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology, Nuclear Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vein and Vascular Centers SCGroup PAC ID 8527327378, 2 clinicians

Practice addresses (Care Compare)

7 N Grant St
Suite 1
Hinsdale, IL 60521-3366
Phone (708) 354-8881

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal72
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01053878INMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Vascular & Interventional Radiology CurrentSince Dec 21, 2016 Accepting new patients
Central Dupage Physician Group CurrentSince Dec 21, 2016 Accepting new patients
A R Imaging, S.C. Past Accepting new patients
Lee Jenkins MD SC Past Accepting new patients
Center for Minimally Invasive Therapies, LLC Past Accepting new patients
Vascular Access Centers of Chicago LLC Past Accepting new patients
Midwest Clinical Imaging, P.C. Diagnostic Radiology Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

351 Delnor Dr
Geneva, IL 60134
Phone (630) 262-1001

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

0N025 Winfield Rd
Winfield, IL 60190
Phone (630) 832-0050

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1689664807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N GRANT ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213365",
            "telephone_number": "708-354-8881",
            "fax_number": "708-354-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N GRANT ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213365",
            "telephone_number": "708-354-8881",
            "fax_number": "708-354-8340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 63rd St",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605162000",
            "country_code": "US",
            "telephone_number": "708-354-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SREENIVAS",
        "middle_name": "GUDDETI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01053878",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036096152",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01053878",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036096152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200339250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SREENIVAS",
            "last_name": "GUDDETI",
            "middle_name": "R",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.