UMA B.R.K PAKKIVENKATA M.D.
NPI 1003003609
Internal Medicine - Nephrology in Dallas, TX


Quality Rating: 98.8 out of 100 score

NPI Status: Active since September 27, 2007

Contact Information

9900 N CENTRAL EXPY STE 215
DALLAS, TX
ZIP 75231
Phone: (214) 396-4950
Fax: (877) 423-5360

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 25
  • Internal Medicine
  • Nephrology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About UMA PAKKIVENKATA

Uma Pakkivenkata is an internist established in Dallas, Texas and his medical specialization is Internal Medicine with a focus in nephrology with more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1003003609 assigned on September 2007. The practitioner's primary taxonomy code is 207RN0300X with license number N3969 (TX). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI1003003609
Provider NameUMA B.R.K PAKKIVENKATA M.D.
Location Address9900 N CENTRAL EXPY STE 215 DALLAS, TX 75231
Location Phone(214) 396-4950
Mailing Address9900 N CENTRAL EXPY STE 215 DALLAS, TX 75231
GenderMale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year1999
Is Sole Proprietor?No
Enumeration Date09-27-2007
Last Update Date07-08-2021
Code Navigator

An internist like Uma Pakkivenkata is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Uma Pakkivenkata is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.8, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: care plan, documentation of current medications in the medical record, engage patients and families to guide improvement in the system of care, engagement of patients, family, and caregivers in developing a plan of care, e-prescribing, health information exchange, implementation of improvements that contribute to more timely communication of test results, implementation of medication management practice improvements, medication reconciliation, patient-specific education, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: unhealthy alcohol use: screening & brief counseling, provide patient access, secure messaging and security risk analysis.

Location Map

Mailing Address

9900 N CENTRAL EXPY STE 215
DALLAS, TX
ZIP 75231
Phone: (214) 396-4950
Fax: (877) 423-5360

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code207RN0300X
TypeAllopathic & Osteopathic Physicians
License No.N3969
License StateTX
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

0101249410 (VA)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

N3969 (TX)

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3127078MEDICAID (05)TX 

PECOS Enrollment and Medicare Participation Status

Uma Pakkivenkata is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2668640285

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120906000614

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 98.8 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 100

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 96

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Care Plan 100% 305
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Documentation of Current Medications in the Medical Record 100% 1238
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Engage Patients and Families to Guide Improvement in the System of CareYesN/A
Engage patients and families to guide improvement in the system of care by leveraging digital tools for ongoing guidance and assessments outside the encounter, including the collection and use of patient data for return-to-work and patient quality of life improvement. Platforms and devices that collect patient-generated health data (PGHD) must do so with an active feedback loop, either providing PGHD in real or near-real time to the care team, or generating clinically endorsed real or near-real time automated feedback to the patient, including patient reported outcomes (PROs). Examples include patient engagement and outcomes tracking platforms, cellular or web-enabled bi-directional systems, and other devices that transmit clinically valid objective and subjective data back to care teams. Because many consumer-grade devices capture PGHD (for example, wellness devices), platforms or devices eligible for this improvement activity must be, at a minimum, endorsed and offered clinically by care teams to patients to automatically send ongoing guidance (one way). Platforms and devices that additionally collect PGHD must do so with an active feedback loop, either providing PGHD in real or near-real time to the care team, or generating clinically endorsed real or near-real time automated feedback to the patient (e.g. automated patient-facing instructions based on glucometer readings). Therefore, unlike passive platforms or devices that may collect but do not transmit PGHD in real or near-real time to clinical care teams, active devices and platforms can inform the patient or the clinical care team in a timely manner of important parameters regarding a patient’s status, adherence, comprehension, and indicators of clinical concern.
Engagement of Patients, Family, and Caregivers in Developing a Plan of CareYesN/A
Engage patients, family, and caregivers in developing a plan of care and prioritizing their goals for action, documented in the electronic health record (EHR) technology.
e-Prescribing 90% 334
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 24% 21
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Implementation of improvements that contribute to more timely communication of test resultsYesN/A
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Medication Reconciliation 91% 22
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 60% 242
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 528
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 100% 368
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
Provide Patient Access 69% 242
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 59% 242
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 411

    Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)

  • 179

    Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)

  • 35

    Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Uma Pakkivenkata is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
METHODIST RICHARDSON MEDICAL CENTER2831 E PRESIDENT GEORGE BUSH HIGHWAY
RICHARDSON, TX 75082
(469) 204-1000Acute Care Hospitals
BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK9440 POPPY DR
DALLAS, TX 75218
(214) 324-6100Acute Care Hospitals
DALLAS REGIONAL MEDICAL CENTER1011 NORTH GALLOWAY AVENUE
MESQUITE, TX 75149
(214) 320-7000Acute Care Hospitals
BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE6800 SCENIC DR
ROWLETT, TX 75088
(972) 412-2273Acute Care Hospitals
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE231 SOUTH COLLINS ROAD
SUNNYVALE, TX 75182
(972) 892-3000Acute Care Hospitals

Reviews for UMA B.R.K PAKKIVENKATA M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003003609
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200300660
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 6 + 6 + 0 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003003609 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538327150 SHAUN P KAISER MD
Individual
Internal Medicine (Nephrology)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1578909164 SEPEHR DAHESHPOUR M.D.
Individual
Internal Medicine (Nephrology)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1225297922DR. VIVEK SHARMA M.D.
Individual
Internal Medicine (Nephrology)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1659650091DR. CHUKWUMA SOYINKA OSIFESO MD
Individual
Internal Medicine (Nephrology)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1104207414 LORINDA LILES NP-C
Individual
Nurse Practitioner (Family)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1558053066TEXAS KIDNEY INSTITUTE
Organization
Internal Medicine (Nephrology)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1598743098DR. SUMIT KUMAR M.D.
Individual
Internal Medicine (Nephrology)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1174017222DR. OYINTAYO AJIBOYE MD
Individual
Internal Medicine (Nephrology)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1487810164STRAIGHTLINE MEDICAL CONSULTANTS
Organization
Internal Medicine (Nephrology)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950

Frequently Asked Questions

What is Uma Pakkivenkata M.D. NPI number?

The NPI number assigned to this healthcare provider is 1003003609, enumerated in the NPI registry as an "individual" on September 27, 2007

Where is the provider located?

The provider is located at 9900 N Central Expy Ste 215 Dallas, Tx 75231 and the phone number is (214) 396-4950

What is the provider specialty code?

The provider's speciality is Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology

How many years of experience does Uma Pakkivenkata M.D. have?

The provider has more than 25 years of experience.

What insurance does Uma Pakkivenkata M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Uma Pakkivenkata M.D. registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Uma Pakkivenkata M.D. Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

What are some of the services provided by Uma Pakkivenkata M.D.?

The most common procedures or services performed by this practitioner are: Dialysis services (4 or more physician visits per month), patient 20 years of age and older, Dialysis services (2-3 physician visits per month), patient 20 years of age and older and Dialysis services (1 physician visit per month), patient 20 years of age and older.

Is Uma Pakkivenkata M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospital(s): METHODIST RICHARDSON MEDICAL CENTER, BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK, DALLAS REGIONAL MEDICAL CENTER, BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE and BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on September 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.