SWETHA DHANIREDDY MD
NPI 1659753960
Ophthalmology in Gurnee, IL
About Swetha Dhanireddy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SWETHA DHANIREDDY MD (NPI 1659753960) is an individual ophthalmology provider in Gurnee, Illinois, licensed in Illinois (036163372) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Columbus.
NPPES Registry Identity
Specialties & Licenses
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Swetha Dhanireddy Md 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northshore University Healthsystem - Evanston Hospital
Acute Care Hospitals · Evanston, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Swetha Dhanireddy's NPI number?
The NPI number for Swetha Dhanireddy is 1659753960. It was assigned to this individual provider in the NPPES registry on June 23, 2015.
Where is Swetha Dhanireddy located?
Swetha Dhanireddy practices at 7900 Rollins Rd Ste B1300, Gurnee, IL 60031. The listed phone number is (224) 251-2020.
What is Swetha Dhanireddy's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Swetha Dhanireddy enrolled in Medicare?
Yes. Swetha Dhanireddy 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 Swetha Dhanireddy accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and CareSource list Swetha Dhanireddy 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 Swetha Dhanireddy affiliated with any hospitals?
According to CMS data, Swetha Dhanireddy is affiliated with Northshore University Healthsystem - Evanston Hospital.
When was this NPI record last updated?
The NPPES record for Swetha Dhanireddy was last updated on February 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
