Active NPI
Seetharam Reddy Mannem, MD., MRCPUK
- Internal Medicine Physician
- Rock Island, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 158857
- Practice address
- 2701 17TH St
Rock Island, IL 61201-5351 - Phone
- (309) 779-5000
- NPI assigned
- Apr 14, 2019
- Last updated
- Jun 23, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 158857 | IL | Primary |
Addresses
Primary practice location
2701 17TH St
Rock Island, IL 61201-5351
Mailing address
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Other practice location 1
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-5000
Other names 1
- Dr. Seetharam Reddy Mannem
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2701 17TH St
Rock Island, IL 61201-5393
Phone (309) 779-5000
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (309) 779-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158857 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Trinity Medical Center | Past | Accepting new patients | |
| Trinity Medical Center | Past | Accepting new patients | |
| Unity Healthcare | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110
1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
Interoperability endpoints
- smannem901819@direct.unitypoint.org
Organizations & group practices 5
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.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
IL, Internal Medicine
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
dba Trinity Bettendorf
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
dba Genesis Medical Center Davenport
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
dba University of Iowa Health Care Medical Center
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
-
dba Trinity Bettendorf
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1801459045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 N 7TH AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 17TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015351",
"telephone_number": "309-779-5000"
}
],
"practiceLocations": [
{
"address_1": "4500 Utica Ridge Rd",
"address_purpose": "LOCATION",
"city": "Bettendorf",
"state": "IA",
"postal_code": "527221626",
"country_code": "US",
"telephone_number": "563-742-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANNEM",
"first_name": "SEETHARAM",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "MD., MRCPUK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-14",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "158857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SEETHARAM",
"last_name": "MANNEM",
"middle_name": "REDDY",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.