SHUBHADA REDDY (MD) – Psychiatry Physician, NPI 1154856607

SHUBHADA REDDY (MD) is a healthcare provider. based in Peoria, Illinois. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 00000000000000000000 (IL). The NPI Number for SHUBHADA REDDY (MD) is 1154856607

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
SHUBHADA REDDY (MD)
NPI
1154856607
Phone
(309) 495-1640
Address
221 NE GLEN OAK AVE
Enumeration Date
21 April 2017
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8333518255
Graduation Year
2017 (9 years ago)
PAC ID
3577906767
Group Practice PAC ID
4880064070
Professional Enrollment ID
I20240731000959
Address ID
IL600694340LI250XXDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,367 PSYCHIATRY in IL

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Provider Addresses for SHUBHADA REDDY (MD)

  • UnityPoint Health - Methodist, 221, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61636, United States

    PEORIA, IL 61636

    Phone: (309) 495-1640

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20240205002027IPsychiatryTXTBD
I20240722001704IPsychiatryNYTBD
I20240731000959IPsychiatryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61636)

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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: 4880064070View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
P S Y C H I A T R YMI
P S Y C H I A T R YNY
Clinical Social WorkerFL
P S Y C H I A T R YFL
P S Y C H I A T R YFL
P S Y C H I A T R YIN
P S Y C H I A T R YNY
Clinical Social WorkerMA
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

Is there an official ID for SHUBHADA REDDY (MD) in U.S. healthcare records?
The official identifier for SHUBHADA REDDY (MD) is NPI 1154856607.
Is there an active status for SHUBHADA REDDY (MD)?
For scheduling context, SHUBHADA REDDY (MD) is shown as active in the registry.
What area of care is associated with SHUBHADA REDDY (MD)?
SHUBHADA REDDY (MD)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is SHUBHADA REDDY (MD) located near Peoria?
SHUBHADA REDDY (MD) currently maps to Peoria, Illinois in this extract.
When was this NPI issued?
Enumeration for SHUBHADA REDDY (MD) is noted as April 21, 2017 where the registry provides it.

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