LESLIE D. REDDELL D.O, – NPI #1699056309
Surgery

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Health Care Provider Taxonomy Code for Surgery

LESLIE REDDELL is a surgeon located in FORT WORTH, TX. NPPES has assigned the NPI number 1699056309 to LESLIE REDDELL on September 08, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0127X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Trauma Surgery

The NPI profile was last updated on Jul 08, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LESLIE REDDELL below.

NPI Profile for
LESLIE D. REDDELL

NPI Number
1699056309
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LESLIE D. REDDELL
Credentials
D.O,
Primary location
800 8TH AVE STE 306
FORT WORTH, TX 76104-2602
Phone: (822) 243-7486 Fax: (682) 841-0039
2 Other location(s):
3025 N Tarrant Pkwy Ste 100
Fort Worth, TX 76177-8625
Phone: (682) 224-3748
Fax: (682) 841-0039
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone: (903) 606-5560
Mailing address
PO BOX 865
FORT WORTH, TX 76101-0865
Phone: (817) 632-1900 Fax: (817) 632-1904
Sole Proprietor
Yes
Updated
Certification Date
Jul 08, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LESLIE REDDELL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherTEXASTXP0783
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0127X
- Surgery / Trauma Surgery (Primary)		 TX P0783
208600000X
- Surgery		 TX P0783

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED - Graduated 2006
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LESLIE REDDELL is affiliated with the following medical group(s):
  • HOSPITAL
    • MEDICAL CITY ALLIANCE
      3101 NORTH TARRANT PARKWAY
      FORT WORTH, TX 76177
    • MEDICAL CITY FORT WORTH
      900 EIGHTH AVENUE
      FORT WORTH, TX 76104

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.