NPIMap

Individual provider Active NPI

Praveen B Reddy, M.D

  • Neurological Surgery Physician
  • Conroe, TX
National Provider Identifier
1720060775
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
T8926 Issued in TX
Practice address
1020 Riverwood CT Ste 305
Conroe, TX 77304-2974
Phone
(832) 447-7494
Fax
(832) 510-0563
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X T8926 TX Primary

Addresses

Primary practice location

1020 Riverwood CT Ste 305
Conroe, TX 77304-2974

Mailing address

1020 Riverwood CT Ste 305
Conroe, TX 77304-2974
Phone (832) 447-7494

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
I20230327002199 TX Practitioner - Neurosurgery 6901861582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Minimally Invasive Neurosurgery PLLCGroup PAC ID 8921472325, 5 clinicians

Practice addresses (Care Compare)

1020 Riverwood CT
Suite 305
Conroe, TX 77304-2974
Phone (612) 961-7513

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Houston, TX, CCN 673134
  • Memorial Hermann Surgical Hospital Kingwood Hospital, Kingwood, TX, CCN 670005
  • Townsen Memorial Hospital Hospital, Humble, TX, CCN 670266
  • CHI St Lukes Lakeside Hospital Hospital, The Woodlands, TX, CCN 670059
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion257
Laminectomy or laminotomy (partial removal of spine bones)105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
H Town Surgical Associates, PLLC CurrentSince Dec 7, 2025 Accepting new patients
Center for Minimally Invasive Neurosurgery PLLC Neurological Surgery CurrentSince Mar 2, 2023 Accepting new patients
North Florida Surgical Associates LLC PastSince Mar 17, 2019 Accepting new patients

Locations

1020 Riverwood Ct
Ste 305
Conroe, TX 77304
Phone (612) 961-7513

1710 W Lake Houston Pkwy
Ste 260
Kingwood, TX 77339
Phone (832) 447-7494

2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389
Phone (832) 232-5658

9100 Forest Xing
Ste A
The Woodlands, TX 77381
Phone (281) 296-0188

9851 FM 1097 Rd W
Ste 120
Willis, TX 77318
Phone (936) 271-3400

Interoperability endpoints

  • Direct secure messaging: praveen.reddy.1@19704.direct.athenahealth.com
  • Direct secure messaging: praveen.reddy@cmin.eclinicaldirectplus.com
  • Direct secure messaging: praveen.reddy.1@11939.direct.athenahealth.com

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 11

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1720060775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 305",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042974",
            "telephone_number": "832-447-7494",
            "fax_number": "832-510-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 305",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042974",
            "telephone_number": "832-447-7494",
            "fax_number": "832-510-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PRAVEEN",
        "middle_name": "B",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "T8926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.