DR. KRISHNA KISHORE REDDY EDUNURI (M.D., M.P.H.) – Internal Medicine Physician, NPI 1841458106

DR. KRISHNA KISHORE REDDY EDUNURI (M.D., M.P.H.) is a healthcare provider. based in Carol stream, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D., M.P.H.. They hold a License No. 4301092409 (MI). The NPI Number for DR. KRISHNA KISHORE REDDY EDUNURI (M.D., M.P.H.) is 1841458106

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISHNA KISHORE REDDY EDUNURI (M.D., M.P.H.)
NPI
1841458106
Phone
(906) 225-4821
Address
4602 DEPT
Enumeration Date
22 May 2008
Last Update Date
14 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3016185700
Graduation Year
2001 (25 years ago)
PAC ID
3678631652
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20130320000358
Address ID
MD207745374LA1221XLNXX300

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for DR. KRISHNA KISHORE REDDY EDUNURI (M.D., M.P.H.)

  • 4602 DEPT

    CAROL STREAM, IL 601220021

    Phone: (906) 225-4821

    Fax: (906) 225-4537

    Type: Mailing

  • 420, West Magnetic Street, Marquette, Marquette County, Michigan, 49855, United States

    MARQUETTE GENERAL HOSPITAL -HOSPITALIST PRACTICE

    MARQUETTE, MI 498552711

    Phone: (906) 225-3898

    Type: Location

  • 1635 N GEORGE MASON DR STE 155

    ARLINGTON, VA 222053604

    Phone: (703) 717-7652

    Fax: (703) 717-7654

    Type: Location

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: 2013-03-20

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
I20130320000358IInternal MedicineDCTBD

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 60122)

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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: 3779495858View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. KRISHNA KISHORE REDDY EDUNURI (M.D., M.P.H.)?
For DR. KRISHNA KISHORE REDDY EDUNURI (M.D., M.P.H.), use NPI 1841458106 as the unique 10-digit identifier.
Would DR. KRISHNA KISHORE REDDY EDUNURI (M.D., M.P.H.) appear as active to a payer?
You can treat DR. KRISHNA KISHORE REDDY EDUNURI (M.D., M.P.H.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. KRISHNA KISHORE REDDY EDUNURI (M.D., M.P.H.)?
DR. KRISHNA KISHORE REDDY EDUNURI (M.D., M.P.H.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KRISHNA KISHORE REDDY EDUNURI (M.D., M.P.H.) located near Carol Stream?
DR. KRISHNA KISHORE REDDY EDUNURI (M.D., M.P.H.) currently maps to Carol Stream, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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