SHIRISHA PEDDI (M.D) – Internal Medicine Physician, NPI 1104228287

SHIRISHA PEDDI (M.D) is a healthcare provider. based in Mchenry, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 125.065420 (IL). The NPI Number for SHIRISHA PEDDI (M.D) is 1104228287

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
SHIRISHA PEDDI (M.D)
NPI
1104228287
Phone
(815) 338-6600
Address
4201 W Medical Center Dr
Enumeration Date
20 September 2014
Last Update Date
11 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172939110
Graduation Year
2010 (16 years ago)
PAC ID
8022380997
Group Practice PAC ID
3476688318
Professional Enrollment ID
I20180501002446
Address ID
TX760287021BU11801FWYX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:11State licenses:3Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for SHIRISHA PEDDI (M.D)

  • 4201 W Medical Center Dr

    McHenry, IL 600508409

    Phone: (815) 338-6600

    Type: Location

  • 3333 Green Bay Rd

    North Chicago, IL 600643037

    Phone: (847) 578-3227

    Type: Location

  • 11801 SOUTH FWY

    BURLESON, TX 760287021

    Phone: (817) 568-5955

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $314.

Total Amount is formed as General ($314) + Research ($0) + Ownership ($0) = $314.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($159).

Total Amount

$314

General + Research + Ownership

Payments

17

Total payment records

General Amount

$314

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180501002446IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes309125$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes227106$0
99239Hospital discharge day management, more than 30 minutes153144$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60050)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476688318View full group profile

Reviews

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Frequently asked questions

What federal number belongs to SHIRISHA PEDDI (M.D)?
The federal identifier for SHIRISHA PEDDI (M.D) is NPI 1104228287.
Is SHIRISHA PEDDI (M.D) active in the national directory?
SHIRISHA PEDDI (M.D)'s public NPI profile is in an active state.
Does SHIRISHA PEDDI (M.D) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for SHIRISHA PEDDI (M.D). Clinical services aligned with this taxonomy classification.
Where does public data place SHIRISHA PEDDI (M.D)?
The snapshot lists Mchenry, Illinois for SHIRISHA PEDDI (M.D); download NPPES for the complete set.
What if Mchenry, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.