Active NPI
Hitesh Ramesh Reddy, MBBS
- Trauma Surgery Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 036173993
- Practice address
- 305 W Jackson St Ste 206
Carbondale, IL 62901-1474 - Phone
- (618) 457-3006
- Fax
- (618) 457-3007
- NPI assigned
- Apr 17, 2019
- Reactivated
- Dec 11, 2019
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036173993 | IL | |
| Surgical Critical Care Physician | 2086S0102X | 036173993 | IL | |
| Trauma Surgery Physician | 2086S0127X | 036173993 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Mailing address
Howard University Hospital
2041 Georgia Avenue, NW
Washington, DC 20060
Other practice location 1
317 S 14th St
Herrin, IL 62948-3671
Phone (618) 942-2002
Other practice location 2
Howard University Hospital
2041 Georgia Avenue, NW
Washington, DC 20060
Phone (202) 865-4608
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hreddy84774@sih.direct-ci.com | ||
| Direct Messaging Address | hreddy84774@sih.direct-ci.com |
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
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 W Jackson St
Suite 206
Carbondale, IL 62901-1474
Phone (618) 457-3006
Hospital & facility affiliations
- Memorial Hospital of Carbondale
- Herrin Hospital
- Harrisburg Medical Center
- St Joseph Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036173993 | IL | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Past | Accepting new patients | |
| Southern Illinois Hospital Services | Past | Accepting new patients |
Locations
305 W Jackson St
Ste 206
Carbondale, IL 62901
Phone (618) 457-3006
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
317 S 14th St
Herrin, IL 62948
Phone (618) 942-2002
502 W Saint Louis St
Ste 4
West Frankfort, IL 62896
Phone (618) 937-3400
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Medicare Defined Swing Bed Hospital Unit
- Murphysboro, IL
- NPI 1639595036
-
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1154510808
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, IL
- NPI 1073580130
-
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
- Critical Access Hospital
- Murphysboro, IL
- NPI 1356435135
-
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1699338558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HOWARD UNIVERSITY HOSPITAL",
"address_2": "2041 GEORGIA AVENUE, NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W JACKSON ST STE 206",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011474",
"telephone_number": "618-457-3006",
"fax_number": "618-457-3007"
}
],
"practiceLocations": [
{
"address_1": "317 S 14th St",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483671",
"country_code": "US",
"telephone_number": "618-942-2002",
"fax_number": "618-988-9780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Howard University Hospital",
"address_2": "2041 Georgia Avenue, NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "20060",
"country_code": "US",
"telephone_number": "202-865-4608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "HITESH",
"middle_name": "RAMESH",
"name_prefix": "Mr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"deactivation_date": "2019-12-04",
"reactivation_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036173993",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IL",
"license": "036173993",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IL",
"license": "036173993",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hreddy84774@sih.direct-ci.com",
"affiliation": "N",
"address_1": "317 S 14th St",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483671",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hreddy84774@sih.direct-ci.com",
"affiliation": "N",
"address_1": "305 W Jackson St Ste 206",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011474",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.