DR. ARHAANTH DHARAM REDDY M.D.
NPI 1124313283
Internal Medicine in Plano, TX

Active since June 16, 2011PECOS EnrolledAccepts Medicare Assignment
6124 W PARKER RD STE 530, PLANO, TX 75093(214) 778-1075(214) 778-1237 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2019, Jan 18, 2019, Jul 10, 2018 (3 updates tracked since 2018).

About Dr. Arhaanth Dharam Reddy M.d. NPPES

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

DR. ARHAANTH DHARAM REDDY M.D. (NPI 1124313283) is an individual internal medicine provider in Plano, Texas, licensed in Missouri (2011016797) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2011).

NPPES Registry Identity

NPI1124313283
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ARHAANTH DHARAM REDDYCredential: M.D.
Location Address6124 W PARKER RD STE 530Plano, TX 75093-8140
Mailing Address2001 N Macarthur Blvd, Ste 450Irving, TX 75061-2294 · (972) 259-3221 · Fax (972) 259-2477
Fax(214) 778-1237
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2011
Enumeration DateJune 16, 2011
Last NPPES UpdateOctober 9, 20193 updates tracked since enumeration
NPI 1124313283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 2011016797
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6124 W PARKER RD STE 530, Plano, TX 75093

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

Dr. Arhaanth Dharam 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 ID9739317629
PECOS Enrollment IDI20180724003122
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 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
358 services164 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
172 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
133 services70 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services43 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
49 services48 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
39 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$12.90 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$45.42 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers55 claims55 services$912.19 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers19 claims19 services$27.63 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers29 claims29 services$62.27 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier17 claims1,020 services$4.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Acute Care)
6124 W PARKER RD STE 530
PLANO, TX 75093
Internal Medicine (Critical Care Medicine)
6124 W PARKER RD STE 530
PLANO, TX 75093
Nurse Practitioner (Critical Care Medicine)
6124 W PARKER RD STE 530
PLANO, TX 75093
Nurse Practitioner (Acute Care)
6124 W PARKER RD STE 530
PLANO, TX 75093
Physician Assistant
6124 W PARKER RD STE 530
PLANO, TX 75093
Obstetrics & Gynecology
6124 W PARKER RD STE 530
PLANO, TX 75093
Physician Assistant (Medical)
6124 W PARKER RD STE 530
PLANO, TX 75093
Nurse Practitioner (Primary Care)
6124 W PARKER RD STE 530
PLANO, TX 75093

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 Arhaanth Reddy's NPI number?

The NPI number for Arhaanth Reddy is 1124313283. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Arhaanth Reddy located?

Arhaanth Reddy practices at 6124 W Parker Rd Ste 530, Plano, TX 75093. The listed phone number is (214) 778-1075.

What is Arhaanth Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Arhaanth Reddy enrolled in Medicare?

Yes. Arhaanth 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 Arhaanth Reddy accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Molina Healthcare list Arhaanth 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 Arhaanth Reddy affiliated with any hospitals?

According to CMS data, Arhaanth Reddy is affiliated with Texas Health Presbyterian Hospital Plano, Texas Health Presbyterian Hospital Allen and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Arhaanth Reddy was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.