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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396131835

Vivek Vankayala Reddy, MD is a Cardiac Electrophysiology in Kankakee, Illinois. Qualified in 2014, 12 years ago. Practices with Pain Management Group LLC, a 53-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2015
Specialties on file
2
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

500 N Wall St Ste C100
Kankakee, IL 60901-2942
Phone: (844) 404-4787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4201 Saint Antoine St, Detroit, MI 48201-2153 — (313) 745-5146

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 036165354 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396131835
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2015
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

Medicare enrollment

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

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pain Management Group Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kankakee