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PHANIVARDHAN REDDY BABIREDDY M.D
NPI 1598067522
Internal Medicine in Melrose Park, IL

Active since November 23, 2010PECOS EnrolledAccepts Medicare Assignment
1111 SUPERIOR ST, 101, MELROSE PARK, IL 60160(708) 344-2161 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phanivardhan Reddy Babireddy M.d NPPES

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

PHANIVARDHAN REDDY BABIREDDY M.D (NPI 1598067522) is an individual internal medicine provider in Melrose Park, Illinois, licensed in Illinois (125.055722) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1598067522
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHANIVARDHAN REDDY BABIREDDYCredential: M.D
Location Address1111 SUPERIOR ST, 101Melrose Park, IL 60160-4138
Mailing Address210 N Kenilworth Ave Apt 9Oak Park, IL 60302-2062 · (502) 460-3440
Phone(708) 344-2161
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 23, 2010
✔ NPI 1598067522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125.055722
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1111 SUPERIOR ST, Melrose Park, IL 60160
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Phanivardhan Reddy Babireddy 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 ID6002064219
PECOS Enrollment IDI20120913000153, I20160224002684
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
205 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
86 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services79 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
62 services61 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140280
Location2701 17th StRock Island, IL 61201 · Rock Island County
Emergency services Birthing friendly

Trinity Muscatine

Acute Care Hospitals · Muscatine, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160013
Location1518 Mulberry AvenueMuscatine, IA 52761 · Muscatine County
Emergency services

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Trinity - Bettendorf

Acute Care Hospitals · Bettendorf, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160104
Location4500 Utica Ridge RoadBettendorf, IA 52722 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60160 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 20

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

MS. JOYCE ANTOINETTE WESTFALL OTR/L, CHT
Occupational Therapist (Hand)
1111 SUPERIOR ST, LL, OUTPATIENT OCCUPATIONAL THERAPY
MELROSE PARK, IL 60160
Cook County (708) 938-7756
ANUPA RAI MD
Hospitalist
1111 SUPERIOR ST, SUITE 101
MELROSE PARK, IL 60160
Cook County (708) 344-2161
NICHOLAS G RECCHIA M.D.
Family Medicine
1111 SUPERIOR ST, SUITE 304
MELROSE PARK, IL 60160
Cook County (708) 786-7100
DR. NABIL SALEH M.D.
Pediatrics
1111 SUPERIOR ST, STE 412
MELROSE PARK, IL 60160
Cook County (708) 450-0112
NGR LLC
Clinic/Center (Primary Care)
1111 SUPERIOR ST, SUITE 304
MELROSE PARK, IL 60160
Cook County (708) 786-7100
RESURRECTION HEALTH CARE
Clinic/Center (Urgent Care)
1111 SUPERIOR ST, #207
MELROSE PARK, IL 60160
Cook County (708) 938-7580
MELROSE PARK WOMEN'S CARE, S.C.
Obstetrics & Gynecology
1111 SUPERIOR ST, SUITE 304
MELROSE PARK, IL 60160
Cook County (847) 839-8800
JOHN N KIRIKLAKIS, MD PC
Internal Medicine
1111 SUPERIOR ST, SUITE 408
MELROSE PARK, IL 60160
Cook County (708) 345-2035

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 Phanivardhan Babireddy's NPI number?

The NPI number for Phanivardhan Babireddy is 1598067522. It was assigned to this individual provider in the NPPES registry on November 23, 2010.

Where is Phanivardhan Babireddy located?

Phanivardhan Babireddy practices at 1111 Superior St 101, Melrose Park, IL 60160. The listed phone number is (708) 344-2161.

What is Phanivardhan Babireddy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Phanivardhan Babireddy enrolled in Medicare?

Yes. Phanivardhan Babireddy 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.

What insurance does Phanivardhan Babireddy accept?

Health plans from Medica list Phanivardhan Babireddy 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 Phanivardhan Babireddy affiliated with any hospitals?

According to CMS data, Phanivardhan Babireddy is affiliated with Trinity Rock Island, Trinity Muscatine, Southeast Iowa Regional Medical Center and Trinity - Bettendorf.

When was this NPI record last updated?

The NPPES record for Phanivardhan Babireddy was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.