NPIMap

Individual provider Active NPI

Mallikarjun Gollapally Reddy, M.D.

  • Anesthesiology Physician
  • Schaumburg, IL
National Provider Identifier
1790049310
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036150607 Issued in IL
Practice address
500 W Golf Rd Ste 101
Schaumburg, IL 60195-3503
Phone
(847) 519-9700
Fax
(847) 519-9760
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2012019882 MO
Interventional Pain Medicine Physician 208VP0014X 036150607 IL
Anesthesiology Physician 207L00000X 036150607 IL Primary

Addresses

Primary practice location

500 W Golf Rd Ste 101
Schaumburg, IL 60195-3503

Mailing address

4901 Searle Pkwy
Skokie, IL 60077-5313

Other practice location 1

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 982-6710

Other practice location 2

360 Station Dr Ste 200
Crystal Lake, IL 60014-8000
Phone (847) 519-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170106000395 NY Practitioner - Anesthesiology 9234366444 Reassigns benefits to 1 organization
I20190913002064 IL Practitioner - Anesthesiology 9234366444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians
Illinois Spine Institute,S.C.Group PAC ID 9638123953, 3 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

500 W Golf Rd
Suite 101
Schaumburg, IL 60195-3503
Phone (847) 519-9700

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036150607ILMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Weill Medical College of Cornell Anesthesiology CurrentSince Nov 2, 2016 Accepting new patients
Illinois Spine Institute,S.C. CurrentSince Jun 1, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 2, 2016 Accepting new patients
Endeavor Health Medical Group Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Illinois Spine Institute,S.C. Interventional Pain Medicine PastSince Aug 3, 2025 Accepting new patients
Endeavor Health Clinical Operations Interventional Pain Medicine PastSince Jun 15, 2025 Accepting new patients
Specialty Surgicare, LTD PastSince May 3, 2020 Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

9532 Eagle Way
Chicago, IL 60678

360 Station Dr
Ste 200
Crystal Lake, IL 60014
Phone (847) 303-1200

415 E Congress Pkwy
Ste E
Crystal Lake, IL 60014
Phone (847) 519-9700

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

500 W Golf Rd
Ste 101
Schaumburg, IL 60195
Phone (847) 303-1200

500 W Golf Rd
Ste 102
Schaumburg, IL 60195
Phone (815) 404-6478

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHBAA

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1790049310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 SEARLE PKWY",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600775313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W GOLF RD STE 101",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953503",
            "telephone_number": "847-519-9700",
            "fax_number": "847-519-9760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Central Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600052349",
            "country_code": "US",
            "telephone_number": "847-982-6710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Station Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600148000",
            "country_code": "US",
            "telephone_number": "847-519-9700",
            "fax_number": "847-519-9760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MALLIKARJUN",
        "middle_name": "GOLLAPALLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2012019882",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036150607",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036150607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.