AVINASH D REDDY (MD) – Family Medicine Physician, NPI 1609874312

AVINASH D REDDY (MD) is a healthcare provider. based in Grapevine, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35910 (TN). The NPI Number for AVINASH D REDDY (MD) is 1609874312

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
AVINASH D REDDY (MD)
NPI
1609874312
Phone
(972) 539-6330
Address
2355 E GRAPEVINE MILLS CIR
Enumeration Date
7 July 2005
Last Update Date
3 June 2016

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
4697785228
Graduation Year
1997 (29 years ago)
PAC ID
5496889479
Group Practice PAC ID
7810237740
Professional Enrollment ID
I20210713002515
Address ID
TX761777655FO8901X111X400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for AVINASH D REDDY (MD)

  • East Grapevine Mills Circle, Grapevine Mills, Grapevine, Tarrant County, Texas, United States

    GRAPEVINE, TX 760512047

    Phone: (972) 539-6330

    Fax: (972) 539-3077

    Type: Location

  • PO BOX 9101

    COPPELL, TX 750199494

    Phone: (972) 745-7500

    Fax: (972) 471-0700

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-07-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210713002515IFamily PracticeTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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 76051)

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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: 7810237740View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Physician AssistantTX
Family PracticeLA
Nurse PractitionerTN
Physician AssistantCA
Physician AssistantTX
Family PracticeTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do payers reference AVINASH D REDDY (MD)?
For AVINASH D REDDY (MD), use NPI 1609874312 as the unique 10-digit identifier.
Active or inactive — what applies to AVINASH D REDDY (MD)?
You should see AVINASH D REDDY (MD) as active in CMS-hosted NPPES data.
How would a patient describe AVINASH D REDDY (MD)'s focus?
For AVINASH D REDDY (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is AVINASH D REDDY (MD) located near Grapevine?
AVINASH D REDDY (MD) currently maps to Grapevine, Texas in this extract.
Does AVINASH D REDDY (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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