MALLIKARJUN GOLLAPALLY REDDY (M.D.) – Anesthesiology Physician, NPI 1790049310

MALLIKARJUN GOLLAPALLY REDDY (M.D.) is a healthcare provider. based in Maywood, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 2012019882 (MO). The NPI Number for MALLIKARJUN GOLLAPALLY REDDY (M.D.) is 1790049310

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MALLIKARJUN GOLLAPALLY REDDY (M.D.)
NPI
1790049310
Phone
(708) 216-9000
Address
2160 S 1ST AVE
Enumeration Date
28 June 2012
Last Update Date
20 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8475199700
Graduation Year
2011 (15 years ago)
PAC ID
9234366444
Group Practice PAC ID
9638123953
Professional Enrollment ID
I20190913002064
Address ID
IL601953503SC500XXRDXX401
Telehealth
Yes

Contacts

Secure Messaging
mreddy111944@direct.luhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:13State licenses:2Other names

2,631 ANESTHESIOLOGY in IL

Provider Addresses for MALLIKARJUN GOLLAPALLY REDDY (M.D.)

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-9000

    Type: Mailing

  • 360 Station Dr Ste 200

    Crystal Lake, IL 600148000

    Phone: (847) 519-9700

    Fax: (847) 519-9760

    Type: Location

  • 800 W Central Rd

    Arlington Heights, IL 600052349

    Phone: (847) 982-6710

    Type: Location

  • 4901 SEARLE PKWY

    SKOKIE, IL 600775313

    Phone:

    Type: Mailing

  • 500 W GOLF RD STE 101

    SCHAUMBURG, IL 601953503

    Phone: (847) 519-9700

    Fax: (847) 519-9760

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $526.

Total Amount is formed as General ($526) + Research ($0) + Ownership ($0) = $526.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Medtronic, Inc. ($526).

Total Amount

$526

General + Research + Ownership

Payments

11

Total payment records

General Amount

$526

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$526
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: 2019-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170106000395IAnesthesiologyNYTBD
I20190913002064IAnesthesiologyILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes563205$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg25224$0
99204New patient office or other outpatient visit, 45-59 minutes148148$0
62323Injection of substance into lower spine canal using imaging guidance12194$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level7761$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 9638123953View full group profile
NameSpecialtyState
Orthopedic SurgeryIL
Orthopedic SurgeryIL

Reviews

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Frequently asked questions

What federal number belongs to MALLIKARJUN GOLLAPALLY REDDY (M.D.)?
The federal identifier for MALLIKARJUN GOLLAPALLY REDDY (M.D.) is NPI 1790049310.
Does this profile mean MALLIKARJUN GOLLAPALLY REDDY (M.D.) is currently active?
Yes — MALLIKARJUN GOLLAPALLY REDDY (M.D.) appears active in the national provider directory.
Does MALLIKARJUN GOLLAPALLY REDDY (M.D.) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for MALLIKARJUN GOLLAPALLY REDDY (M.D.). Clinical services aligned with this taxonomy classification.
Where is MALLIKARJUN GOLLAPALLY REDDY (M.D.)'s primary listing?
We display Maywood, Illinois because that is what the record indicates for MALLIKARJUN GOLLAPALLY REDDY (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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