Individual provider Active NPI

Apeksha Saxena-Reddy

  • Pediatrics Physician
  • Swansea, IL
National Provider Identifier
1952891350
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036157031 Issued in IL
Practice address
4941 Benchmark Centre Dr Ste 100
Swansea, IL 62226-2038
Phone
(618) 624-9970
Fax
(618) 624-9973
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 036157031 IL Primary

Addresses

Primary practice location

4941 Benchmark Centre Dr Ste 100
Swansea, IL 62226-2038

Mailing address

4941 Benchmark Centre Dr Ste 100
Swansea, IL 62226-2038
Phone (618) 624-9970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180731000287 CT Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7517215197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036157031ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffers Mann & Artman Pediatric & Adolesent Medicine PA Current Accepting new patients
St .Clair Pedaitrics, LLC Pediatrics PastSince Aug 29, 2021 Accepting new patients

Locations

530 New Waverly Pl
Ste 115
Cary, NC 27518
Phone (919) 852-0177

5029 Arco St
Cary, NC 27519

Interoperability endpoints

  • Direct secure messaging: apekshasaxena-reddy@jmp.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1952891350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 BENCHMARK CENTRE DR STE 100",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262038",
            "telephone_number": "618-624-9970",
            "fax_number": "618-624-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 BENCHMARK CENTRE DR STE 100",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262038",
            "telephone_number": "618-624-9970",
            "fax_number": "618-624-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXENA-REDDY",
        "first_name": "APEKSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036157031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.