Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vijayabhasker K Reddy, MD

Individual provider Family Medicine Physician · NPI 1144287947

Vijayabhasker K Reddy, MD is a Family Practice in Southlake, Texas. Qualified in 1988, 38 years ago. Practices with Concord Medical Group of Texas PLLC, a 317-clinician group and accepts Medicare assignment. Licensed in Arkansas and Texas.

Years since qualifying
38
Licensed in
AR, TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

909 Aspen Ridge Dr
Southlake, TX 76092-3840
Phone: (817) 917-6647
Fax: (870) 338-8239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence M5464 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence M5464 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence E1310 (AR)

Record details

NPI number1144287947
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Concord Medical Group Of Texas Pllc — 317 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Southlake