| Vijayabhasker K Reddy, MD | |
|
909 Aspen Ridge Dr, Southlake, TX 76092-3840 | |
| (817) 917-6647 | |
| (870) 338-8239 |
| Full Name | Vijayabhasker K Reddy |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 909 Aspen Ridge Dr, Southlake, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144287947 | NPI | - | NPPES |
| 131920001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M5464 (Texas) | Secondary |
| 207Q00000X | Family Medicine | E1310 (Arkansas) | Secondary |
| 207P00000X | Emergency Medicine | M5464 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lubbock Heart Hospital Lp | Lubbock, TX | Hospital |
| Northwest Texas Hospital | Amarillo, TX | Hospital |
| Dallas Regional Medical Center | Mesquite, TX | Hospital |
| The Hospitals Of Providence Horizon City Campus | Horizon city, TX | Hospital |
| Dallas Medical Center | Dallas, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pearsall Emergency Medicine Associates, Pa | 1557623147 | 31 |
| Em Alliance Texas Pllc | 4587192430 | 74 |
| Concord Medical Group Of Texas Pllc | 7810117223 | 238 |
| Entity Name | Southwest General Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174560437 PECOS PAC ID: 9234100124 Enrollment ID: O20040804000536 |
| Entity Name | Acs Primary Care Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Pearsall Emergency Medicine Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104326263 PECOS PAC ID: 1557623147 Enrollment ID: O20180319002335 |
| Entity Name | Bluff Creek Emergency Medicine Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679071690 PECOS PAC ID: 1355605924 Enrollment ID: O20180507001763 |
| Entity Name | Hospitalist Medicine Physicians Of Texas - Houston, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760028740 PECOS PAC ID: 2860881125 Enrollment ID: O20211109000125 |
| Entity Name | Nes Southwest Medical Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093487449 PECOS PAC ID: 9234520800 Enrollment ID: O20211216001478 |
| Entity Name | Small Hospital Innovations Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20220124000512 |
| Entity Name | Ess Of Lubbock Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174255251 PECOS PAC ID: 8729460134 Enrollment ID: O20220802001691 |
| Entity Name | Ies Central Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003523002 PECOS PAC ID: 3476922576 Enrollment ID: O20221213000355 |
| Entity Name | Star Ed Of Arlington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801662838 PECOS PAC ID: 7315398385 Enrollment ID: O20240104001117 |
| Entity Name | Ipa Er Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588488571 PECOS PAC ID: 9133655616 Enrollment ID: O20241206002223 |
| Entity Name | Em Alliance Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902621329 PECOS PAC ID: 4587192430 Enrollment ID: O20250107000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijayabhasker K Reddy, MD 107 Hickory Hills Dr, Helena, AR 72342-2301 Ph: (870) 338-8377 | Vijayabhasker K Reddy, MD 909 Aspen Ridge Dr, Southlake, TX 76092-3840 Ph: (817) 917-6647 |
Daniel Peckenpaugh, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1545 E Southlake Blvd, Southlake, TX 76092 Phone: 817-748-8700 | |
Robert Frank Lutz Iii, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1545 E Southlake Blvd, Southlake, TX 76092 Phone: 817-557-8205 | |
Kent Alan Taub, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 613 Fairway View Ter, Southlake, TX 76092 Phone: 214-649-1444 | |
Kristina Marie Dennington, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 630 N Kimball Avenue, Ste #100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388 | |
Meredith S Krebel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6050 | |
James Alan Dennington, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 630 N Kimball Ave, Ste#100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388 | |
Dr. Richard Jackson, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 505 Regency Xing, Southlake, TX 76092 Phone: 817-913-6144 |