NIKHILA REDDY M.D.
NPI 1073044079
Family Medicine in Houston, TX

Q: What is Nikhila Reddy's NPI number?

The NPI number for Nikhila Reddy is 1073044079. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Nikhila Reddy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nikhila Reddy was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment

83.84/100

CMS Quality Rating

18220 STATE HIGHWAY 249 STE 400, HOUSTON, TX 77070(281) 737-0570(281) 737-1539 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2020, Mar 22, 2017 (2 updates tracked since 2017).

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About Nikhila Reddy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKHILA REDDY M.D. (NPI 1073044079) is an individual family medicine provider in Houston, Texas, licensed in Texas (V4476) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073044079

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNIKHILA REDDYCredential: M.D.

Location Address18220 STATE HIGHWAY 249 STE 400Houston, TX 77070-4349

Mailing Address18220 State Highway 249 Ste 400Houston, TX 77070-4349 · (281) 737-0570 · Fax (281) 737-1539

Phone(281) 737-0570

Fax(281) 737-1539

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 22, 2017

Last NPPES UpdateMay 1, 20252 updates tracked since enumeration

NPPES CertifiedMay 1, 2025

✔ NPI 1073044079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · V4476

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

18220 STATE HIGHWAY 249 STE 400, Houston, TX 77070

Open in Google Maps ↗

Secondary Practice Locations 2

Location 16100 Pan American Freeway NE, Ste 390ALBUQUERQUE, NM 87109-3401 · Phone (505) 823-8599 · Fax (505) 823-8490

Location 2University Of Kansas Medical Ctr, 3901 Rainbow BoulevardKansas City, KS 66160-0001 · Phone (913) 588-1902 · Fax (913) 588-1951

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nikhila Reddy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052683109

PECOS Enrollment IDI20250408000135

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nikhila Reddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tmh Physician Associates PLLC

20 mi

Ophthalmology

6550 FANNIN ST, SUITE 447
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,407 clinicians in this Medicare group

NPI 1275779225 (713) 441-7389

Presbyterian Healthcare Services

543 mi

Rural

2100 MARTIN LUTHER KING JR BLVD
Clovis, NM 88101

Reassigned Medicare billing, New Mexico enrollment
2,331 clinicians in this Medicare group

NPI 1629053509 (505) 469-7577

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

48 services36 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services12 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450844

Location18220 State Highway 249Houston, TX 77070 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.59

Promoting Interoperability

100

Improvement Activities

Cost

58.63

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS TRAN HOANG MD

Urology