VIVEK VANKAYALA REDDY (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1396131835

VIVEK VANKAYALA REDDY (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in CARDIAC ELECTROPHYSIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036165354 (IL). The NPI Number for VIVEK VANKAYALA REDDY (M.D.) is 1396131835

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
VIVEK VANKAYALA REDDY (M.D.)
NPI
1396131835
Phone
(313) 745-5146
Address
4201 Saint Antoine St
Enumeration Date
11 April 2015
Last Update Date
28 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8444044787
Graduation Year
2014 (12 years ago)
PAC ID
9234435660
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20230706000245
Address ID
IL609012942KA500XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

120 CARDIAC ELECTROPHYSIOLOGY in MI

Provider Addresses for VIVEK VANKAYALA REDDY (M.D.)

  • 4201 Saint Antoine St

    Detroit, MI 482012153

    Phone: (313) 745-5146

    Type: Location

  • 5 SHERBURNE LN

    WESTFORD, MA 018861176

    Phone: (978) 319-2260

    Type: Mailing

  • 4201 SAINT ANTOINE ST

    DETROIT, MI 482012153

    Phone: (313) 745-5146

    Type: Location

  • 500 N WALL ST STE C100

    KANKAKEE, IL 609012942

    Phone: (844) 404-4787

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 87 Open Payments records for all available years, with a total value of $7,818.

Total Amount is formed as General ($7,818) + Research ($0) + Ownership ($0) = $7,818.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Medtronic, Inc. ($4,448).

Total Amount

$7,818

General + Research + Ownership

Payments

87

Total payment records

General Amount

$7,818

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2023-07-06

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
I20230706000245ICardiac ElectrophysiologyILTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only447331$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report9891$0
99214Established patient office or other outpatient visit, 30-39 minutes6552$0
93289Evaluation of single, dual, or multiple lead implantable defibrillator system3122$0
99213Established patient office or other outpatient visit, 20-29 minutes3027$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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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: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
-IL
-IL
-IL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY

Reviews

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Frequently asked questions

Where can patients find VIVEK VANKAYALA REDDY (M.D.)'s NPI?
You can confirm VIVEK VANKAYALA REDDY (M.D.) with NPI 1396131835; it appears in the national provider directory.
Does this profile mean VIVEK VANKAYALA REDDY (M.D.) is currently active?
Yes — VIVEK VANKAYALA REDDY (M.D.) appears active in the national provider directory.
What does VIVEK VANKAYALA REDDY (M.D.) treat or focus on?
Patients typically see VIVEK VANKAYALA REDDY (M.D.) under the specialty Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for VIVEK VANKAYALA REDDY (M.D.)?
We surface Detroit, Michigan for VIVEK VANKAYALA REDDY (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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