Individual provider Active NPI

Chittaranjan Venkat Reddy, MD

  • Ophthalmology Physician
  • Peoria, IL
National Provider Identifier
1992737084
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036.090651 Issued in IL
Practice address
3310 W Chartwell Rd
Suite 101
Peoria, IL 61614
Phone
(309) 693-2249
Fax
(309) 693-2583
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036.090651 IL Primary

Addresses

Primary practice location

3310 W Chartwell Rd
Suite 101
Peoria, IL 61614

Mailing address

PO Box 563
Sedona, AZ 86339-0563
Phone (262) 788-9229

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120123000186 IL Practitioner - Ophthalmology 4688841232 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3310 W Chartwell Rd
Peoria, IL 61614-2322
Phone (309) 693-2249

Hospital & facility affiliations

  • Carle Health Proctor Hospital Hospital, Peoria, IL, CCN 140013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.090651ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Bond Eye Associates, SC Ophthalmology CurrentSince Jun 1, 2013 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jun 1, 2016 Accepting new patients
Retina Consultants of Central Illinois, SC Ophthalmology CurrentSince Feb 1, 2012 Accepting new patients
Gibson Community Hospital Association Ophthalmology Past Accepting new patients
Bond Eye Associates, S.C. Past Accepting new patients

Locations

3315 N Seminary St
#101
Galesburg, IL 61401
Phone (309) 344-1000

505 E Grant St
Ste 206
Macomb, IL 61455
Phone (309) 836-3937

505 E Grant St
Macomb, IL 61455
Phone (309) 833-1733

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

1300 Franklin Ave
Ste 310
Normal, IL 61761
Phone (309) 452-3216

1302 Franklin Ave
Ste 3500
Normal, IL 61761
Phone (217) 366-2613

725 S 14th St
Pekin, IL 61554
Phone (309) 353-1579

3310 W Chartwell Rd
Ste 101
Peoria, IL 61614
Phone (309) 693-2249

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

3310 W Chartwell Rd
Peoria, IL 61614
Phone (309) 693-2249

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

8800 State Route 91
Peoria, IL 61615
Phone (309) 683-5000

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

7309 N Knoxville Ave
Peoria, IL 61614
Phone (309) 282-0827

530 NE Glen Oak Ave
Ste 101
Peoria, IL 61637

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1992737084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 563",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863390563",
            "telephone_number": "262-788-9229",
            "fax_number": "262-788-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 W CHARTWELL RD",
            "address_2": "SUITE 101",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61614",
            "telephone_number": "309-693-2249",
            "fax_number": "309-693-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "CHITTARANJAN",
        "middle_name": "VENKAT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.090651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.