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AKHIL SURASANI REDDY MD
NPI 1679076475
Orthopaedic Surgery in Downers Grove, IL

Active since March 18, 2018PECOS EnrolledAccepts Medicare Assignment
3551 HIGHLAND AVE STE 200B, DOWNERS GROVE, IL 60515(630) 264-8720(630) 264-8423 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 27, 2024, Jul 5, 2024, Mar 18, 2018 (3 updates tracked since 2018).

About Akhil Surasani Reddy Md NPPES

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

AKHIL SURASANI REDDY MD (NPI 1679076475) is an individual orthopaedic surgery provider in Downers Grove, Illinois, licensed in Illinois (036170438) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Advocate Good Samaritan Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1679076475
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameAKHIL SURASANI REDDYCredential: MD
Location Address3551 HIGHLAND AVE STE 200BDowners Grove, IL 60515-2100
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(630) 264-8720
Fax(630) 264-8423
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 18, 2018
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1679076475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in IL · 036170438✔ Licensed in MN · 73380
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3551 HIGHLAND AVE STE 200B, Downers Grove, IL 60515
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Secondary Practice Locations 3

Location 12051 Marengo StLos Angeles, CA 90033-1352 · Phone (315) 271-4508
Location 28100 W 78th St Ste 230Edina, MN 55439-2570 · Phone (952) 946-9777 · Fax (952) 946-9888
Location 3640 Jackson StSaint Paul, MN 55101-2502 · Phone (651) 254-2005 · Fax (651) 254-1519

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Akhil Surasani Reddy 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.

PECOS PAC ID42540049
PECOS Enrollment IDI20240826002103
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Akhil Reddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corporation
0.4 mi
General Acute Care Hospital
3815 HIGHLAND AVE
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1003542184 (Illinois)
  • 4,870 clinicians in this Medicare group
NPI 1578670543 (630) 275-5900
Group Health, Inc.
328 mi
General Practice
8325 SEASONS PKWY, STE 103
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
NPI 1083769335 (651) 702-5848

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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 6

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

SPENCER S KIRK M.D., M.S.
Family Medicine (Sports Medicine)
3551 HIGHLAND AVE STE 200B
DOWNERS GROVE, IL 60515
Dupage County (630) 264-8720
LAWRENCE C KOCEN
Physician Assistant
3551 HIGHLAND AVE STE 200B
DOWNERS GROVE, IL 60515
Dupage County (630) 275-2900
DR. NICHOLAS RAMOS M.D.
Orthopaedic Surgery (Sports Medicine)
3551 HIGHLAND AVE STE 200B
DOWNERS GROVE, IL 60515
Dupage County (630) 264-8720
ALLI JOY CHEMMACHEL
Physician Assistant
3551 HIGHLAND AVE STE 200B
DOWNERS GROVE, IL 60515
Dupage County (630) 264-8720
DREYER CLINIC, INC.
Clinic/Center (Multi-Specialty)
3551 HIGHLAND AVE STE 200B
DOWNERS GROVE, IL 60515
Dupage County (630) 264-8720
ADVOCATE HEALTH AND HOSPITALS CORPORATION
Clinic/Center (Multi-Specialty)
3551 HIGHLAND AVE STE 200B
DOWNERS GROVE, IL 60515
Dupage County (630) 264-8720

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 Akhil Reddy's NPI number?

The NPI number for Akhil Reddy is 1679076475. It was assigned to this individual provider in the NPPES registry on March 18, 2018.

Where is Akhil Reddy located?

Akhil Reddy practices at 3551 Highland Ave Ste 200B, Downers Grove, IL 60515. The listed phone number is (630) 264-8720.

What is Akhil Reddy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Akhil Reddy enrolled in Medicare?

Yes. Akhil 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.

Which organizations bill Medicare for Akhil Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Akhil Reddy reassigns Medicare benefits to 2 organizations: Advocate Health And Hospitals Corporation (Downers Grove, IL) and Group Health, Inc. (Woodbury, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Akhil Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Akhil Reddy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Akhil 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 Akhil Reddy affiliated with any hospitals?

According to CMS data, Akhil Reddy is affiliated with Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Akhil Reddy was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.