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SURESH D. REDDY M.D.
NPI 1437117249
Family Medicine in Merrillville, IN

Active since May 02, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 15D1024633 · Microscopy
80.41/100
CMS Quality Rating
8777 BROADWAY, SUITE A, MERRILLVILLE, IN 46410(219) 756-0960(219) 756-0961 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suresh D. Reddy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURESH D. REDDY M.D. (NPI 1437117249) is an individual family medicine provider in Merrillville, Indiana, licensed in Indiana (01038650A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through April 15, 2028, and is affiliated with Methodist Hospitals Inc.

NPPES Registry Identity

NPI1437117249
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSURESH D. REDDYCredential: M.D.
Location Address8777 BROADWAY, SUITE AMerrillville, IN 46410-6693
Mailing Address8777 Broadway, Suite AMerrillville, IN 46410-6693 · (219) 756-0960 · Fax (219) 756-0961
Phone(219) 756-0960
Fax(219) 756-0961
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateMay 2, 2006
Last NPPES UpdateJanuary 8, 2013
✔ NPI 1437117249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01038650A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8777 BROADWAY, Merrillville, IN 46410
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Other Identifiers 3

Medicare UPINF21823
Medicare ID-Type Unspecified217000
Medicaid200013970IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Suresh D. Reddy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961491758
PECOS Enrollment IDI20040507000553
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D1024633

Suresh D Reddy MD LLC · Merrillville, IN
Active · expires Apr 15, 2028
CLIA Number15D1024633
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorDr. Suresh D. Reddy
Laboratory Phone(219) 756-0960
Laboratory LocationSuresh D Reddy MD LLC8777 Broadway Ste A, Merrillville, IN 46410
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
511 services64 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
485 services186 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
103 services103 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
81 services81 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
72 services71 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
67 services67 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.83
Improvement Activities40
Cost45.62

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%39 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
92%710 patients4/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%50 patients
Breast Cancer Screening
60%224 patients3/55-star benchmark: 93%
Cervical Cancer Screening
25%162 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
50%544 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
74%516 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%200 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
31%200 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,939 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
67%446 patients3/55-star benchmark: 100%
HIV Screening
11%463 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
39%866 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
36%735 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%618 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 750 patients
Patients screened: 99% · 750 patients
80%99 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%423 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 473 patients
Patients totalRate: 17% · 473 patients
17%473 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
27 suppliers89 claims245 services$5.47 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers50 claims77 services$1.01 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims71 services$1.85 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers24 claims24 services$28.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARCY DENISE ORZECH LCSW
Social Worker (Clinical)
8777 BROADWAY, SUITE C
MERRILLVILLE, IN 46410
Lake County (219) 793-1233
MISS TERESA A HALL RD
Dietitian, Registered
8777 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 712-6253
RAYMOND ZIMMERMAN M.D.
Family Medicine
8777 BROADWAY, SUITE A
MERRILLVILLE, IN 46410
Lake County (219) 756-0960
MELISSA MICHELLE EVERS
Nurse Practitioner (Family)
8777 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 738-5316
BEVERLY C. TITUS N.P.
Registered Nurse
8777 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 736-5151
SARAH DUMBAULD MSN, APRN, FNP-C
Nurse Practitioner (Family)
8777 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 738-3854
JILL BLANCHARD
Family Medicine
8777 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 738-5316
SOPHIA ADDY MD
Obstetrics & Gynecology
8777 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 738-3536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suresh Reddy's NPI number?

The NPI number for Suresh Reddy is 1437117249. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Suresh Reddy located?

Suresh Reddy practices at 8777 Broadway Suite A, Merrillville, IN 46410. The listed phone number is (219) 756-0960.

What is Suresh Reddy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Suresh Reddy enrolled in Medicare?

Yes. Suresh Reddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Suresh Reddy hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D1024633) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Suresh Reddy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Suresh Reddy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Suresh Reddy affiliated with any hospitals?

According to CMS data, Suresh Reddy is affiliated with Methodist Hospitals Inc, St Mary Medical Center Inc, Community Hospital and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Suresh Reddy was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.