Individual provider Active NPI

Bibas Reddy, D.O.

  • Hematology & Oncology Physician
  • Fort Worth, TX
National Provider Identifier
1457577017
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
M2453 Issued in TX
Practice address
800 W Magnolia Ave
Fort Worth, TX 76104-4611
Phone
(817) 759-7000
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 M2453 TX Primary

Addresses

Primary practice location

800 W Magnolia Ave
Fort Worth, TX 76104-4611

Mailing address

800 W Magnolia Ave
Fort Worth, TX 76104-4611

Other identifiers 2

IdentifierTypeStateIssuer
1934630-01MedicaidTX
1934630-02MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address breddy@txcc.OncoEMRDirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080604000658 TX Practitioner - Medical Oncology 9638262272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of North Texas HSC, College of Osteopathic Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oncology Hematology Consultants, PAGroup PAC ID 5496646382, 72 clinicians

Practice addresses (Care Compare)

2900 N I
35 Suite 111
Denton, TX 76201-5142
Phone (940) 380-8155

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

515 W Mayfield Rd
Arlington, TX 76014-2084
Phone (817) 759-7000

6100 Harris Pkwy
Suite 235
Fort Worth, TX 76132-4126
Phone (817) 759-7000

630 E State Hwy 114
Southlake, TX 76092-4410
Phone (817) 759-7000

800 W Magnolia Ave
Fort Worth, TX 76104-4611

920 Santa Fe Dr
Weatherford, TX 76086-5864
Phone (817) 596-0637

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137

Merit-based Incentive Payment System (MIPS)

Final score
97.82 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2453TXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology-Hematology Consultants PA Hematology & Oncology Current Accepting new patients
Oncology Hematology Consultants, PA CurrentSince Jul 1, 2008 Accepting new patients
Oncology-Hematology Consultants PA Hematology & Oncology CurrentSince Jul 1, 2008 Accepting new patients

Locations

11801 South Fwy
Ste 101
Burleson, TX 76028
Phone (817) 717-5691

6100 Harris Pkwy
Ste 235
Fort Worth, TX 76132
Phone (817) 263-7200

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

800 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 333-0133

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

907 Foster Ln
Weatherford, TX 76086
Phone (817) 596-0637

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 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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1457577017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044611",
            "telephone_number": "817-759-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "BIBAS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "M2453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1934630-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1934630-02",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "breddy@txcc.OncoEMRDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 W Magnolia Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761044611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.