Active NPI
Prathima Kapadi Basava Reddy, M. D.
- Hospitalist Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- E-7615
- Practice address
- 836 W Wellington Ave
Advocate Illinois Masonic Medical Center
Chicago, IL 60657-5147 - Phone
- (501) 352-9983
- NPI assigned
- Jul 31, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60610289 | WA | |
| Internal Medicine Physician | 207R00000X | E-7615 | AR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 125056499 | IL | |
| Hospitalist Physician | 208M00000X | E-7615 | AR | Primary |
Addresses
Primary practice location
836 W Wellington Ave
Advocate Illinois Masonic Medical Center
Chicago, IL 60657-5147
Mailing address
856 W Nelson St
Apt. 701
Chicago, IL 60657-5152
Phone (501) 352-9983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E-7615 | Other | AR | ARKANSAS STATE MEDICAL BOARD LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Hospitalist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 944-7977
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60610289 | WA | MD | Internal Medicine Physician |
| 125056499 | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Internal Medicine | Current | Accepting new patients |
| Franciscan Medical Group | Current | Accepting new patients | |
| St Francis Community Hospital | Past | Accepting new patients |
Locations
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711
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.
-
dba Westsound Orthopaedics A part of the Franciscan Medical Group
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
dba St Francis Pac Lab
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1336353069
Hospital
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1710118278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 W NELSON ST",
"address_2": "APT. 701",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575152",
"telephone_number": "501-352-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W WELLINGTON AVE",
"address_2": "ADVOCATE ILLINOIS MASONIC MEDICAL CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575147",
"telephone_number": "501-352-9983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "PRATHIMA",
"middle_name": "KAPADI BASAVA",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-31",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60610289",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-7615",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125056499",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AR",
"license": "E-7615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS STATE MEDICAL BOARD LICENSE",
"identifier": "E-7615",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.