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DR. SRIVIDYA REDDY M.B.,B.S
NPI 1922388255
Internal Medicine in Peoria, IL

Active since August 17, 2011PECOS EnrolledAccepts Medicare Assignment
88.67/100
CMS Quality Rating
530 NE GLEN OAK AVE, PEORIA, IL 61603(309) 624-9351 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Srividya Reddy M.b.,b.s NPPES

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

DR. SRIVIDYA REDDY M.B.,B.S (NPI 1922388255) is an individual internal medicine provider in Peoria, Illinois, licensed in Oregon (MD207668) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Legacy Salmon Creek Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1922388255
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SRIVIDYA REDDYCredential: M.B.,B.S
Location Address530 NE GLEN OAK AVEPeoria, IL 61603-3117
Mailing Address530 Ne Glen Oak AvePeoria, IL 61603-3117
Phone(309) 624-9351
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 17, 2011
Last NPPES UpdateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
✔ NPI 1922388255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OR · MD207668✔ Licensed in IL · 125060408
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.
530 NE GLEN OAK AVE, Peoria, IL 61603
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Srividya Reddy M.b.,b.s 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 ID1951528181
PECOS Enrollment IDI20140812002711
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

4

Medicare enrollment records show Srividya Reddy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Sound Inpatient Physicians PLLC
1,454 mi
Hospitalist
800 W 5TH AVE
Spokane, WA 99204
  • Reassigned Medicare billing, Washington enrollment
  • 915 clinicians in this Medicare group
NPI 1275785107 (509) 458-5800
Legacy Clinics LLC
1,675 mi
Rural Health
36860 INDUSTRIAL WAY
Sandy, OR 97055
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1730472192 (503) 826-0206
Silverton Health
1,690 mi
Clinic/Center
861 W MAIN ST
Molalla, OR 97038
  • Reassigned Medicare billing, Oregon enrollment
  • 568 clinicians in this Medicare group
NPI 1861116055 (503) 874-5653
Legacy Salmon Creek Hospital
1,692 mi
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
NPI 1356357784 (360) 487-2878

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 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 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.
280 services124 patients
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.
87 services40 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.
66 services66 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.
37 services37 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

88.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.54
Promoting Interoperability100
Improvement Activities40
Cost70.7

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%123 patients4/55-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.

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.

DR. AMANDA CATHERINE CROSS M.D.
Radiology (Diagnostic Radiology)
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-2000
DR. TOMMY ARIC TRENT D.O.
Emergency Medicine (Emergency Medical Services)
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-6710
MRS. ANGIE CHRISTINE ONION
Nurse Practitioner (Neonatal, Critical Care)
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-2106
WILLIAM GEBHARDS
Counselor (Professional)
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-3960
MRS. ANDREA CATHERINE SCHOLL APN
Clinical Nurse Specialist (Adult Health)
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-2551
DR. TODD RYAN MITCHELL MD
Emergency Medicine
530 NE GLEN OAK AVE, EMERGENCY MEDICINE
PEORIA, IL 61603
Peoria County (309) 655-6710
KIMBERLY A FLANDERS RN
Registered Nurse (Emergency)
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-2584
TIMOTHY GRANT RAINES M.D.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-2268

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 Srividya Reddy's NPI number?

The NPI number for Srividya Reddy is 1922388255. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Where is Srividya Reddy located?

Srividya Reddy practices at 530 NE Glen Oak Ave, Peoria, IL 61603. The listed phone number is (309) 624-9351.

What is Srividya Reddy's specialty?

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

Is Srividya Reddy enrolled in Medicare?

Yes. Srividya 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 Srividya Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Srividya Reddy reassigns Medicare benefits to 4 organizations: South Sound Inpatient Physicians PLLC (Spokane, WA), Legacy Clinics LLC (Sandy, OR), Silverton Health (Molalla, OR) and Legacy Salmon Creek Hospital (Vancouver, WA). 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 Srividya Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Srividya Reddy affiliated with any hospitals?

According to CMS data, Srividya Reddy is affiliated with Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Srividya Reddy was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.