MANOJ ADAVELLY REDDY (MD) – Radiation Oncology Physician, NPI 1619977329

MANOJ ADAVELLY REDDY (MD) is a healthcare provider. based in Longview, Texas. specializing in Radiation Oncology Physician. They hold the professional credentials MD. They hold a License No. L1182 (TX). The NPI Number for MANOJ ADAVELLY REDDY (MD) is 1619977329

Main info

Male
Name
MANOJ ADAVELLY REDDY (MD)
NPI
1619977329
Phone
(903) 544-6888
Address
131 Spring Hill Rd
Enumeration Date
22 July 2005
Last Update Date
2 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MANOJ ADAVELLY REDDY (MD)

  • 131 Spring Hill Rd

    Longview, TX 756051147

    Phone: (903) 544-6888

    Type: Location

  • Forest Lane, Lake Highlands, Audelia, Dallas, Dallas County, Texas, 75243, United States

    DALLAS, TX 752302713

    Phone: (281) 772-6270

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2023-04-07 • Largest payer in this snapshot: Stryker Corporation ($104).

Total Amount

$104

General + Research + Ownership

Payments

1

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$104
View all Open Payments →|Open Payments Risk Radar →

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: 2009-05-01

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
I20090501000185IRadiation OncologyTXTBD

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 75605)

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Reviews

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Frequently asked questions

What federal number belongs to MANOJ ADAVELLY REDDY (MD)?
The federal identifier for MANOJ ADAVELLY REDDY (MD) is NPI 1619977329.
Is MANOJ ADAVELLY REDDY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MANOJ ADAVELLY REDDY (MD) treat or focus on?
Patients typically see MANOJ ADAVELLY REDDY (MD) under the specialty Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Does MANOJ ADAVELLY REDDY (MD) practice in Texas?
You will see Longview, Texas on file for MANOJ ADAVELLY REDDY (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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