DR. PRAVEEN JADA KUMAR REDDY MD
NPI 1316988090
Internal Medicine - Hematology & Oncology in Wichita Falls, TX

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
1600 10TH ST, WICHITA FALLS, TX 76301(940) 764-5920(940) 764-5921 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Praveen Jada Kumar Reddy Md NPPES

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

DR. PRAVEEN JADA KUMAR REDDY MD (NPI 1316988090) is an individual hematology & oncology provider in Wichita Falls, Texas, licensed in Texas (L9444) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1316988090
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. PRAVEEN JADA KUMAR REDDYCredential: MD
Location Address1600 10TH STWichita Falls, TX 76301-4307
Mailing AddressPo Box 9261Wichita Falls, TX 76308-9261 · (940) 764-7230 · Fax (940) 764-7255
Fax(940) 764-5921
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 10, 2006
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
NPI 1316988090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in TX · L9444
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1600 10TH ST, Wichita Falls, TX 76301

Other Identifiers 4

Medicaid200042170AOK
Medicaid168416902TX
Medicaid168416901TX
Other8R1532TX · Blue Cross Of Texas

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. Praveen Jada Kumar Reddy Md 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 ID2668434879
PECOS Enrollment IDI20041030000248
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 74

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.

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
148,410 services182 patients
Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram Q5110
Filgrastim-aafi (Nivestym) is a biosimilar injection used to stimulate the growth of white blood cells, which help the body fight off infections. It's often given to patients with low white blood cell counts due to cancer treatments or other conditions.
30,180 services16 patients
Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
22,420 services47 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
17,400 services35 patients
Injection, azacitidine, 1 mg J9025
Azacitidine is a medication administered via injection to treat certain types of blood or bone marrow cancer. This drug works by slowing or stopping the growth of cancer cells. It's typically given in a clinic or hospital setting by a healthcare professional.
10,600 services11 patients
Injection, paclitaxel, 1 mg J9267
Paclitaxel is a medication administered via injection to treat various types of cancer. It works by inhibiting cell division, thus preventing cancer cells from growing and multiplying. Each dose is tailored to the patient's body size.
8,668 services20 patients

Hospital Affiliations CMS Care Compare 4

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Wilbarger General Hospital

Acute Care Hospitals · Vernon, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450584
Location920 Hillcrest DrVernon, TX 76384 · Wilbarger County
Emergency services

Clay County Memorial Hospital

Critical Access Hospitals · Henrietta, TX
OwnershipGovernment - Local
CMS Certification Number451362
Location310 W South StreetHenrietta, TX 76365 · Clay County
Emergency services

Graham Regional Medical Center

Critical Access Hospitals · Graham, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number671300
Location1301 Montgomery RoadGraham, TX 76450 · Young County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76301 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
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.

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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier17 claims2,994 services$0.30 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier14 claims14 services$18.87 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 2

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

Nurse Practitioner (Family)
1600 10TH ST
WICHITA FALLS, TX 76301
Dietitian, Registered
1600 10TH ST
WICHITA FALLS, TX 76301

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 Praveen Reddy's NPI number?

The NPI number for Praveen Reddy is 1316988090. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Praveen Reddy located?

Praveen Reddy practices at 1600 10th St, Wichita Falls, TX 76301. The listed phone number is (940) 764-5920.

What is Praveen Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Praveen Reddy enrolled in Medicare?

Yes. Praveen 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 Praveen Reddy accept?

Health plans from Blue Cross and Blue Shield of Texas list Praveen 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 Praveen Reddy affiliated with any hospitals?

According to CMS data, Praveen Reddy is affiliated with United Regional Health Care System, Wilbarger General Hospital, Clay County Memorial Hospital and Graham Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Praveen Reddy was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.