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

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: July 26, 2026.

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

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
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

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Other Providers at the Same Location NPPES 8

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

Urology
18220 STATE HIGHWAY 249 STE 400
HOUSTON, TX 77070
Nurse Practitioner (Family)
18220 STATE HIGHWAY 249 STE 400
HOUSTON, TX 77070
Hospitalist
18220 STATE HIGHWAY 249 STE 400
HOUSTON, TX 77070
Internal Medicine (Interventional Cardiology)
18220 STATE HIGHWAY 249 STE 400
HOUSTON, TX 77070
Internal Medicine
18220 STATE HIGHWAY 249 STE 400
HOUSTON, TX 77070
Internal Medicine
18220 STATE HIGHWAY 249 STE 400
HOUSTON, TX 77070
Internal Medicine
18220 STATE HIGHWAY 249 STE 400
HOUSTON, TX 77070
Nurse Practitioner (Family)
18220 STATE HIGHWAY 249 STE 400
HOUSTON, TX 77070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Nikhila Reddy located?

Nikhila Reddy practices at 18220 State Highway 249 Ste 400, Houston, TX 77070. The listed phone number is (281) 737-0570.

What is Nikhila Reddy's specialty?

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

Is Nikhila Reddy enrolled in Medicare?

Yes. Nikhila Reddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nikhila Reddy accept?

Health plans from Community Health Choice and Molina Healthcare list Nikhila Reddy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nikhila Reddy affiliated with any hospitals?

According to CMS data, Nikhila Reddy is affiliated with Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Nikhila Reddy was last updated on May 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.