DR. SURENDER R BODHIREDDY (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1558341602

DR. SURENDER R BODHIREDDY (MD) is a healthcare provider. based in Addison, Texas. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold the professional credentials MD. They hold a License No. K2185 (TX). The NPI Number for DR. SURENDER R BODHIREDDY (MD) is 1558341602

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. SURENDER R BODHIREDDY (MD)
NPI
1558341602
Phone
(806) 725-4271
Address
14275 MIDWAY RD
Enumeration Date
17 January 2006
Last Update Date
26 September 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5756277000
Graduation Year
1978 (48 years ago)
PAC ID
2466593827
Group Practice PAC ID
5890690085
Professional Enrollment ID
I20100107000125
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. SURENDER R BODHIREDDY (MD)

  • 14275, Midway Road, Addison, Dallas County, Texas, 75001, United States

    SUITE 400

    ADDISON, TX 750013614

    Phone: (806) 725-4271

    Fax: (610) 271-4245

    Type: Mailing

  • Covenant Medical Center, 3615, 19th Street, Lubbock, Lubbock County, Texas, 79410, United States

    LUBBOCK, TX 794101203

    Phone: (806) 744-1887

    Fax: (806) 744-5545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 75001)

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Provider's Procedures

DR. SURENDER R BODHIREDDY (MD) performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYTX88312Special stained specimen slides to identify organisms including interpretation and report272155

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890690085View full group profile
NameSpecialtyState
P A T H O L O G YTX
-TX
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX

Reviews

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Frequently asked questions

Does DR. SURENDER R BODHIREDDY (MD) have a public NPI I can cite?
Public records show DR. SURENDER R BODHIREDDY (MD) under NPI 1558341602.
Is DR. SURENDER R BODHIREDDY (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. SURENDER R BODHIREDDY (MD) as active.
What type of care does DR. SURENDER R BODHIREDDY (MD) provide?
DR. SURENDER R BODHIREDDY (MD)'s profile centers on Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. SURENDER R BODHIREDDY (MD)?
The directory associates DR. SURENDER R BODHIREDDY (MD) with Addison, Texas. Check all listed addresses for suites or satellite offices.
Can I export DR. SURENDER R BODHIREDDY (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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