Individual provider Active NPI

Robert N. Reddix Jr., MD

  • Orthopaedic Surgery Physician
  • Amarillo, TX
National Provider Identifier
1265494611
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
L7133 Issued in TX
Practice address
3501 S Soncy Rd Ste 104
Amarillo, TX 79119-6405
Phone
(806) 398-3627
Fax
(806) 351-7801
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L7133 TX
Orthopaedic Surgery Physician 207X00000X 2006-00209 NC
Orthopaedic Surgery Physician 207X00000X L7133 TX Primary

Addresses

Primary practice location

3501 S Soncy Rd Ste 104
Amarillo, TX 79119-6405

Mailing address

367 S Gulph Rd, Atn :Ipm Credentialing
Atn :Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (806) 398-3627

Other practice location 1

1651 W. Rosedale, Suite 200
Fort Worth, TX 76104-7437
Phone (817) 335-4316

Other identifiers 7

IdentifierTypeStateIssuer
163848806MedicaidTX
8U1283OtherTXBCBS
1U8019OtherTXPTAN
P01447545OtherTXRAILROAD MEDICARE
200993410AMedicaidOK
42056560MedicaidNM
P01666362OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC, SD, CA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040419000807 TX Practitioner - Orthopedic SurgeryPractitioner - Emergency Medicine 7012902091 Reassigns benefits to 3 organizations
I20180307001887 NC Practitioner - Orthopedic Surgery 7012902091 Reassigns benefits to 1 organization
I20180619003365 SD Practitioner - Orthopedic Surgery 7012902091 Reassigns benefits to 1 organization
I20200406000181 CA Practitioner - Orthopedic Surgery 7012902091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NWTX Physician Network PLLCGroup PAC ID 4688899149, 30 clinicians

Practice addresses (Care Compare)

225 N Jackson Ave
San Jose, CA 95116-1603
Phone (408) 259-5000

3501 S Soncy Rd
Suite 104
Amarillo, TX 79119-6405
Phone (806) 398-3627

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-00209NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Feb 28, 2018 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Rapid City Regional Hospital Inc CurrentSince May 23, 2018 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Orthopaedic Surgery CurrentSince Jan 1, 2019 Accepting new patients
NWTX Physician Network, PLLC CurrentSince Oct 11, 2021 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Aug 1, 2018 Accepting new patients
Acute Care Surgery Medical Group, Inc. Orthopaedic Surgery CurrentSince Mar 1, 2020 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince May 23, 2018 Accepting new patients
NWTX Physician Network, PLLC Orthopaedic Surgery CurrentSince Oct 11, 2021 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

150 N Jackson Ave
Ste 100
San Jose, CA 95116
Phone (408) 769-5340

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

2325 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 752-5156

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

3501 S Soncy Rd
Ste 104
Amarillo, TX 79119
Phone (806) 398-3627

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

1301 S Coulter St
Ste 103
Amarillo, TX 79106
Phone (806) 463-1712

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1265494611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD, ATN :IPM CREDENTIALING",
            "address_2": "ATN :IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "806-398-3627",
            "fax_number": "806-351-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 104",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196405",
            "telephone_number": "806-398-3627",
            "fax_number": "806-351-7801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 W. Rosedale, Suite 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761047437",
            "country_code": "US",
            "telephone_number": "817-335-4316",
            "fax_number": "817-338-0342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDIX",
        "first_name": "ROBERT",
        "middle_name": "N.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L7133",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2006-00209",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L7133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163848806",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U1283",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1U8019",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01447545",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200993410A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42056560",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01666362",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.