DR. BOUYELLA H REDDY (M.D.) – Interventional Cardiology Physician, NPI 1043299746
Interventional Cardiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
464 INTERVENTIONAL CARDIOLOGY in IL
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Provider Addresses for DR. BOUYELLA H REDDY (M.D.)
PO BOX 428
DAVENPORT, IA 528050428
Phone: (563) 324-2992
Fax: (563) 888-0499
Type: Mailing
1100, 36th Avenue, Moline, Rock Island County, Illinois, 61265, United States
MOLINE, IL 61265
Phone: (309) 743-6700
Fax: (309) 743-6709
Type: Location
1236 E RUSHOLME ST
DAVENPORT, IA 528032434
Phone: (563) 324-2992
Fax: (563) 324-8562
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $110,482.
Total Amount is formed as General ($110,482) + Research ($0) + Ownership ($0) = $110,482.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($109,833).
Total Amount
$110,482
General + Research + Ownership
Payments
19
Total payment records
General Amount
$110,482
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $109,833 |
| Medtronic, Inc. | $359 |
| Edwards Lifesciences Corporation | $121 |
| Philips Electronics North America Corporation | $60 |
| Shockwave Medical, Inc | $49 |
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: 2004-12-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041116000855 | I | Interventional Cardiology | IA | TBD |
| I20041206000474 | I | Interventional Cardiology | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 7,260 | 71 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,052 | 860 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 737 | 563 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 661 | 632 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 528 | 520 | $0 |
Insurance plans in this area (ZIP 52805)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 1524 | 1029 |
| INTERVENTIONAL CARDIOLOGY | IL | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 24 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Nurse Practitioner | IL | |
| - | IL | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | WI | |
| Neurology, Psychiatry | IN | |
| Internal Medicine | MI | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IL | |
| - | IA |
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