DR. RATHAN A REDDY M.D.
NPI 1912346057
Internal Medicine - Gastroenterology in Dallas, TX

Q: What is Rathan Reddy's NPI number?

The NPI number for Rathan Reddy is 1912346057. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Q: What is Rathan Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Rathan Reddy was last updated on September 1, 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.

Active since June 21, 2013PECOS EnrolledAccepts Medicare Assignment

3450 W WHEATLAND RD, DALLAS, TX 75237(214) 948-8856(214) 948-5516 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 26, 2021, Oct 3, 2019 (2 updates tracked since 2019).

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About Dr. Rathan A Reddy M.d. NPPES

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

DR. RATHAN A REDDY M.D. (NPI 1912346057) is an individual gastroenterology provider in Dallas, Texas, licensed in Texas (S1901) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Methodist Charlton Medical Center, and maintains a secondary practice location in Waxahachie.

NPPES Registry Identity

NPI1912346057

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. RATHAN A REDDYCredential: M.D.

Location Address3450 W WHEATLAND RDDallas, TX 75237-3470

Mailing Address3450 W Wheatland RdDallas, TX 75237-3470 · (214) 948-8856 · Fax (214) 948-5516

Phone(214) 948-8856

Fax(214) 948-5516

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 21, 2013

Last NPPES UpdateSeptember 1, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2021

✔ NPI 1912346057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in TX · S1901✔ Licensed in TX · S19101

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3450 W WHEATLAND RD, Dallas, TX 75237

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Secondary Practice Location 1

Location 12460 N Interstate 35 E, Service Rd, Suite 190Waxahachie, TX 75165 · Phone (469) 548-6011 · Fax (469) 548-6005

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rathan A 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 ID1153550496

PECOS Enrollment IDI20190813000817

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.

Medicare Billing Reassignment

Medicare enrollment records show Rathan Reddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medhealth

8.5 mi

Family Medicine

1441 N BECKLEY AVE
Dallas, TX 75203

Reassigned Medicare billing, Texas enrollment
562 clinicians in this Medicare group

NPI 1912957200 (214) 884-4700

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 11

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 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.

236 services94 patients

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.

84 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.

69 services67 patients

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.

63 services47 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

60 services56 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

32 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 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.

28 services26 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

28 services27 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

26 services26 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Charlton Medical Center

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450723

Location3500 W Wheatland RoadDallas, TX 75237 · Dallas County

Emergency services Birthing friendly

Methodist Midlothian Medical Center

Acute Care Hospitals · Midlothian, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670300

Location1201 E Highway 287Midlothian, TX 76065 · Ellis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75237 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

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.

HAMIDAT MOMOH DPM

Podiatrist (Foot & Ankle Surgery)

3450 W WHEATLAND RD
DALLAS, TX 75237

Dallas County (512) 363-0680

MRS. BETHANY LESCH GRUBB PA-C, MPAS

Physician Assistant (Medical)

3450 W WHEATLAND RD, STE. 225
DALLAS, TX 75237

Dallas County (972) 283-8979

NEWBORN AND PEDIATRIC HEALTH SERVICES PA

Specialist

3450 W WHEATLAND RD, STE 343
DALLAS, TX 75237

Dallas County (972) 283-3737

C FOLASHADE OGUNRO MD PA

Orthopaedic Surgery (Hand Surgery)

3450 W WHEATLAND RD, POB II SUITE 430
DALLAS, TX 75237

Dallas County (972) 296-3875

SOMERSET SURGICAL ASSOCIATES,PA

Surgery

3450 W WHEATLAND RD, POB II, SUITE 330
DALLAS, TX 75237

Dallas County (972) 298-2875

SURESH RAHEJA M.D.

Internal Medicine

3450 W WHEATLAND RD, SUITE #216
DALLAS, TX 75237

Dallas County (972) 709-7766

DR. TAMMIE LEA ROGERS M.D.

Internal Medicine

3450 W WHEATLAND RD, SUITE 325
DALLAS, TX 75237

Dallas County (927) 283-9400

CHARLES JOHN LOSTAK D.O.

Internal Medicine (Gastroenterology)

3450 W WHEATLAND RD, POB II, SUITE 245
DALLAS, TX 75237

Dallas County (214) 948-8856

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 Rathan Reddy's NPI number?

The NPI number for Rathan Reddy is 1912346057. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Rathan Reddy located?

Rathan Reddy practices at 3450 W Wheatland Rd, Dallas, TX 75237. The listed phone number is (214) 948-8856.

What is Rathan Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rathan Reddy enrolled in Medicare?

Yes. Rathan 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 organization bills Medicare for Rathan Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rathan Reddy reassigns Medicare benefits to Medhealth (Dallas, TX). The 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 Rathan Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rathan 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 7 other insurers list Rathan 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 Rathan Reddy affiliated with any hospitals?

According to CMS data, Rathan Reddy is affiliated with Methodist Charlton Medical Center and Methodist Midlothian Medical Center.

When was this NPI record last updated?

The NPPES record for Rathan Reddy was last updated on September 1, 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.