NPIMap

Individual provider Active NPI

Praveen Jada Kumar Reddy, MD

  • Hematology & Oncology Physician
  • Wichita Falls, TX
National Provider Identifier
1316988090
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
L9444 Issued in TX
Practice address
1600 10TH St
Wichita Falls, TX 76301-4307
Phone
(940) 764-5920
Fax
(940) 764-5921
NPI assigned
Jun 10, 2006
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X L9444 TX Primary

Addresses

Primary practice location

1600 10TH St
Wichita Falls, TX 76301-4307

Mailing address

PO Box 9261
Wichita Falls, TX 76308-9261
Phone (940) 764-7230

Other identifiers 4

IdentifierTypeStateIssuer
168416901MedicaidTX
168416902MedicaidTX
8R1532OtherTXBLUE CROSS OF TEXAS
200042170AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041030000248 TX Practitioner - Hematology/OncologyPractitioner - Medical Oncology 2668434879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Medical Oncology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Regional Physician GroupGroup PAC ID 2163417478, 106 clinicians

Practice addresses (Care Compare)

1600 10TH St
Wichita Falls, TX 76301-4307
Phone (940) 764-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
United Regional Physician Group CurrentSince Jul 1, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1600 10th St
Wichita Falls, TX 76301
Phone (940) 764-3390

4327 Barnett Rd
Wichita Falls, TX 76310
Phone (940) 761-2922

5400 Kell Blvd
Wichita Falls, TX 76310
Phone (940) 689-2632

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/URMYCHART/api/FHIR/R4
  • Direct secure messaging: praveen.reddy@txo.ikm.direct-ci.com
  • Direct secure messaging: preddy14543@unitedregional.medalliesdirect.net

Organizations & group practices 3

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

Hospital & facility affiliations 7

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1316988090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9261",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763089261",
            "telephone_number": "940-764-7230",
            "fax_number": "940-764-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014307",
            "telephone_number": "940-764-5920",
            "fax_number": "940-764-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PRAVEEN",
        "middle_name": "JADA KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "L9444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168416901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168416902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TEXAS",
            "identifier": "8R1532",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200042170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.