SREEVIDYA BODEPUDI (DO) – Family Medicine Physician, NPI 1235766684

SREEVIDYA BODEPUDI (DO) is a healthcare provider. based in Grayslake, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 1235766684 (IL). The NPI Number for SREEVIDYA BODEPUDI (DO) is 1235766684

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SREEVIDYA BODEPUDI (DO)
NPI
1235766684
Phone
Not provided
Address
1475 E. BELVIDERE ROAD, SUITE 385
Enumeration Date
25 March 2020
Last Update Date
12 August 2021

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
4694381406
Graduation Year
2020 (6 years ago)
PAC ID
6507289865
Group Practice PAC ID
4789054511
Professional Enrollment ID
I20240909000598
Address ID
MA024922470NE15XXXSTXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for SREEVIDYA BODEPUDI (DO)

  • 1475 E. BELVIDERE ROAD, SUITE 385

    GRAYSLAKE, IL 600302012

    Phone:

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Novo Nordisk Inc ($122).

Total Amount

$148

General + Research + Ownership

Payments

3

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2024-09-09

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
I20240909000598IFamily PracticeMATBD

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 60030)

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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: 4789054511View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Registered Dietitian Or Nutrition ProfessionalCT
Nurse PractitionerMA
Internal MedicineMA
Family PracticeCA
Nurse PractitionerMA
Nurse PractitionerMA
Internal MedicineCT
E N D O C R I N O L O G YMA

Reviews

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Frequently asked questions

Can I verify SREEVIDYA BODEPUDI (DO) with an NPI only?
You can start verification with NPI 1235766684 for SREEVIDYA BODEPUDI (DO), then check state licensing separately.
Does the file indicate SREEVIDYA BODEPUDI (DO) is practicing under active NPI?
Directory data currently reports SREEVIDYA BODEPUDI (DO) as active.
What healthcare role does SREEVIDYA BODEPUDI (DO) hold?
Scheduling teams often label SREEVIDYA BODEPUDI (DO) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does SREEVIDYA BODEPUDI (DO) list a practice location?
Patients near Grayslake, Illinois may find SREEVIDYA BODEPUDI (DO) in results; validate coverage separately.
Why does SREEVIDYA BODEPUDI (DO) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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