| Dr Bouyella H Reddy, MD | |
|
1100 36th Avenue, Moline, IL 61265 | |
| (309) 743-6700 | |
| (309) 743-6709 |
| Full Name | Dr Bouyella H Reddy |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 41 Years |
| Location | 1100 36th Avenue, Moline, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043299746 | NPI | - | NPPES |
| 7168971 | Medicaid | IA | |
| 036097680 | Medicaid | IL | |
| P00180524 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | 036097680 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity - Rock Island | Rock island, IL | Hospital |
| Trinity - Bettendorf | Bettendorf, IA | Hospital |
| Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
| Trinity Muscatine | Muscatine, IA | Hospital |
| Hammond Henry Hospital | Geneseo, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cardiovascular Medicine Pllc | 2264334721 | 49 |
| Trinity Medical Center | 2264337518 | 81 |
| Unity Healthcare | 8224931548 | 60 |
| Cardiovascular Medicine Pllc | 2264334721 | 49 |
| Trinity Medical Center | 2264337518 | 81 |
| Genesis Health System | 6103829338 | 203 |
| Entity Name | Unity Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629122742 PECOS PAC ID: 8224931548 Enrollment ID: O20040202000524 |
| Entity Name | Trinity Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033163829 PECOS PAC ID: 2264337518 Enrollment ID: O20040217000414 |
| Entity Name | Cardiovascular Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982632907 PECOS PAC ID: 2264334721 Enrollment ID: O20040322001926 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bouyella H Reddy, MD 1236 E Rusholme St, Davenport, IA 52803-2434 Ph: (563) 324-2992 | Dr Bouyella H Reddy, MD 1100 36th Avenue, Moline, IL 61265 Ph: (309) 743-6700 |
Dr. Sanjeev Puri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-743-6709 | |
Dr. Rao V Movva, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 545 Valley View Dr, Moline, IL 61265 Phone: 309-762-5560 Fax: 309-762-7351 | |
Brian T Cady, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 Valley View Dr, Suite 203, Moline, IL 61265 Phone: 309-281-2950 Fax: 309-281-2959 | |
Dr. Balakrishna Mundodi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 John Deere Rd, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-764-2042 | |
Dr. Faraz Manazir, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-764-2042 | |
Dr. Eileen Castro, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 106 19th Ave, Suite 103, Moline, IL 61265 Phone: 309-779-7050 Fax: 309-779-7055 |