Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anil Kumar Reddy Reddivari, MD

Individual provider Internal Medicine Physician · NPI 1164687968

Anil Kumar Reddy Reddivari, MD is a Hospitalist in Peoria, Illinois. Qualified in 2004, 22 years ago. Practices with Methodist Medical Center of Illinois, a 393-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone: (309) 672-5729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125053289 (IL)

Record details

NPI number1164687968
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 22, 2008
Last updated in NPPESOctober 16, 2012
Mailing address221 Ne Glen Oak Ave, Peoria, IL 61636-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Methodist Medical Center Of Illinois — 393 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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