MANOJ ADAVELLY REDDY MD NPI 1619977329

NPI Information

  • NPI: 1619977329
  • Provider Name: MANOJ ADAVELLY REDDY, MD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5925 FOREST LN STE 416
    DALLAS, TX
    ZIP 75230
  • Phone: (281) 772-6270

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NPI Details

Manoj Adavelly Reddy, MD is a radiation oncology radiology in Dallas, TX. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Manoj Adavelly Reddy, MD NPI is 1619977329. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5925 FOREST LN STE 416
DALLAS, TX
ZIP 75230-713
Phone: (281) 772-6270

The NPI 1619977329 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2005 and was last updated on 11/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyL1182TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11590556-01MEDICAIDTEXAS
28L12249MEDICARE PINTEXAS
31590556-02MEDICAIDTEXAS
48L23889MEDICARE PINTEXAS
5H76931MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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