Active NPI
Sreenivas Guddeti Reddy, MD
- Vascular & Interventional Radiology Physician
- Hinsdale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 036096152
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200339250 | Medicaid | IN |
Other names 1
- Sreenivas R Guddeti
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7 N Grant St
Suite 1
Hinsdale, IL 60521-3366
Phone (708) 354-8881
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 72 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01053878 | IN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Vascular & Interventional Radiology | Current | Accepting new patients |
| Central Dupage Physician Group | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.