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DR. LIKITH V REDDY D.D.S., M.D
NPI 1104887645
Oral & Maxillofacial Surgery in Dallas, TX

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
3302 GASTON AVE, RM #161, DALLAS, TX 75246(214) 828-8455(214) 828-8382 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Likith V Reddy D.d.s., M.d NPPES

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

DR. LIKITH V REDDY D.D.S., M.D (NPI 1104887645) is an individual oral & maxillofacial surgery provider in Dallas, Texas, licensed in Texas (Q0158) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2000).

NPPES Registry Identity

NPI1104887645
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. LIKITH V REDDYCredential: D.D.S., M.D
Location Address3302 GASTON AVE, RM #161Dallas, TX 75246-2013
Mailing AddressPo Box 660677, Rm 177Dallas, TX 75266-0677 · (214) 828-8455 · Fax (214) 874-4527
Phone(214) 828-8455
Fax(214) 828-8382
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2000
Enumeration DateMarch 31, 2006
Last NPPES UpdateMay 7, 2014
✔ NPI 1104887645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in TX · Q0158
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
3302 GASTON AVE, Dallas, TX 75246
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Other Identifiers 4

Medicaid2414097OH
Medicare PINRE4115661OH
Medicare UPINH93214OH
Medicaid2554294OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Likith V Reddy D.d.s., 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 ID2567634009
PECOS Enrollment IDI20191210002778
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.

Hospital Affiliations CMS Care Compare 2

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

BRIANNA TREY CALABRIA
Dentist (General Practice)
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
AIMEE ANDREINA DIAZ
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8215
BRENDA HERNANDEZ MOCTEZUMA
Dental Hygienist
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
TERESA ANH PHUONG NGUYEN DMD
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8215
GRANT KASAL
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8215
SAAD ULLAH MOHAMMED
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
MR. NICOLAS JOSEPH OSTER
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
DR. BRENT B. HUTSON D.D.S., M.S.
Dentist
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8957

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 Likith Reddy's NPI number?

The NPI number for Likith Reddy is 1104887645. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Likith Reddy located?

Likith Reddy practices at 3302 Gaston Ave Rm #161, Dallas, TX 75246. The listed phone number is (214) 828-8455.

What is Likith Reddy's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Likith Reddy enrolled in Medicare?

Yes. Likith 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 Likith Reddy accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 14 other insurers list Likith 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 Likith Reddy affiliated with any hospitals?

According to CMS data, Likith Reddy is affiliated with Baylor University Medical Center and Texas Health Harris Methodist Hospital Fort Worth.

When was this NPI record last updated?

The NPPES record for Likith Reddy was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.