DR. LIKITH V REDDY (D.D.S., M.D) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1104887645
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
145 ORAL SURGERY in TX
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Provider Addresses for DR. LIKITH V REDDY (D.D.S., M.D)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
RM 177
DALLAS, TX 752660677
Phone: (214) 828-8455
Fax: (214) 874-4527
Type: Mailing
3302, Gaston Avenue, Dallas, TX, Dallas, Dallas County, Texas, 75246, United States
RM #161
DALLAS, TX 752462013
Phone: (214) 828-8455
Fax: (214) 828-8382
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $6,291.
Total Amount is formed as General ($6,291) + Research ($0) + Ownership ($0) = $6,291.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($4,394).
Total Amount
$6,291
General + Research + Ownership
Payments
26
Total payment records
General Amount
$6,291
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $4,394 |
| Synthes GmbH | $714 |
| AXOGEN | $540 |
| Aroa Biosurgery Incorporated | $234 |
| DePuy Synthes Sales Inc. | $229 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191210002778 | I | Maxillofacial Surgery | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75266)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral And Maxillofacial Pathology | TX | |
| Maxillofacial Surgery, Oral Surgery | TX | |
| Dentist, Oral Surgery | TX | |
| Oral Surgery | TX | |
| Oral Surgery | MD | |
| Oral And Maxillofacial Pathology | TX | |
| Oral And Maxillofacial Pathology | TX | |
| Oral And Maxillofacial Pathology | TX |
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