Active NPI
Nikeeta Priyanka Reddy, MD
- Pediatrics Physician
- Lubbock, TX
National Provider Identifier
1962194696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- W7756
- Practice address
- 5202 82ND St
Lubbock, TX 79424-2823 - Phone
- (806) 725-7337
- Fax
- (806) 993-3040
- NPI assigned
- May 22, 2023
- Last updated
- Aug 19, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | W7756 | TX | Primary |
Addresses
Primary practice location
5202 82ND St
Lubbock, TX 79424-2823
Mailing address
2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5228
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230809004222 | TX | Order and Referring Only - Pediatric Medicine | 3678935533 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1962194696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 NASHVILLE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101105",
"telephone_number": "806-725-5228",
"fax_number": "806-723-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5202 82ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794242823",
"telephone_number": "806-725-7337",
"fax_number": "806-993-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "NIKEETA",
"middle_name": "PRIYANKA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "W7756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.