PRASHANTH K REDDY MD
NPI 1427204270
Internal Medicine in Plano, TX
About Prashanth K Reddy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRASHANTH K REDDY MD (NPI 1427204270) is an individual internal medicine provider in Plano, Texas, licensed in Texas (Q0347) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Prashanth K 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.
Medicare Billing Reassignments
4Medicare enrollment records show Prashanth Reddy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75252
- Reassigned Medicare billing, Texas enrollment
- 6 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 1,639 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 284 clinicians in this Medicare group
Uvalde, TX 78801
- Reassigned Medicare billing, Texas enrollment
- 48 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare
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, TXPhysician 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.
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.
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.
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.
PLANO, TX 75093
PLANO, TX 75093
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 Prashanth Reddy's NPI number?
The NPI number for Prashanth Reddy is 1427204270. It was assigned to this individual provider in the NPPES registry on August 12, 2008.
Where is Prashanth Reddy located?
Prashanth Reddy practices at 6200 W Parker Rd, Plano, TX 75093. The listed phone number is (972) 981-3225.
What is Prashanth Reddy's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Prashanth Reddy enrolled in Medicare?
Yes. Prashanth 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.
Which organizations bill Medicare for Prashanth Reddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prashanth Reddy reassigns Medicare benefits to 4 organizations: Geriatric Advanced Practice PLLC (Dallas, TX), Texas Health Physicians Group (Dallas, TX), Texas Health Virtual Care (Dallas, TX) and South Texas Hospitalist Associates LLC (Uvalde, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prashanth Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prashanth Reddy accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Prashanth 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 Prashanth Reddy affiliated with any hospitals?
According to CMS data, Prashanth Reddy is affiliated with Texas Health Presbyterian Hospital Plano.
When was this NPI record last updated?
The NPPES record for Prashanth Reddy was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Prashanth K Reddy, MD · NPI 1427204270
Internal Medicine physician in Plano, Texas. Individual provider, active in the CMS NPPES registry since August 12, 2008.
## Identity
- **NPI:** 1427204270 (Entity type: Individual)
- **Enumerated:** August 12, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** Q0347 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6200 W PARKER RD, Plano, TX 75093-8185
- **Phone:** (972) 981-3225
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Geriatric Advanced Practice PLLC (NPI 1164235982, Dallas, TX); Texas Health Physicians Group (NPI 1053767897, Dallas, TX); Texas Health Virtual Care (NPI 1942951199, Dallas, TX); South Texas Hospitalist Associates LLC (NPI 1790045664, Uvalde, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** June 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1427204270) · Data from the CMS NPPES public registry.