UMA B.R.K PAKKIVENKATA M.D. NPI 1003003609
Internal Medicine - Nephrology in Dallas, TX
About UMA B.R.K PAKKIVENKATA M.D.
Uma Pakkivenkata is an internist established in Dallas, Texas and his medical specialization is Internal Medicine with a focus in nephrology with more than 24 years of experience. The NPI number of this provider is 1003003609 and was 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 2 years ago.
| NPI | 1003003609 |
| Provider Name | UMA B.R.K PAKKIVENKATA M.D. |
| Location Address | 9900 N CENTRAL EXPY STE 215 DALLAS, TX 75231 |
| Location Phone | (214) 396-4950 |
| Mailing Address | 9900 N CENTRAL EXPY STE 215 DALLAS, TX 75231 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Is Sole Proprietor? | No |
| Enumeration Date | 09-27-2007 |
| Last Update Date | 07-08-2021 |
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 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.
Uma Pakkivenkata is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Methodist Richardson Medical Center, Medical City Plano, Dallas Regional Medical Center, Baylor Scott And White Medical Center Lake Pointe and Baylor Scott And White Medical Center Lake Pointe.
The provider participated in Medicare's 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 provider also has detailed performance information the following quality measures: advance care plan, diabetes: medical attention for nephropathy, documentation of current medications in the medical record, e-prescribing, implementation of improvements that contribute to more timely communication of test results, implementation of medication management practice improvements, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: screening for high blood pressure and follow-up documented, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patients electronic access to their health information and security risk analysis.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207RN0300X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Nephrology |
| License No. | N3969 |
| License State | TX |
| Taxonomy Description | An 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
9900 N CENTRAL EXPY STE 215
DALLAS, TX
ZIP 75231
Phone: (214) 396-4950
Fax: (877) 423-5360
Mailing Address
9900 N CENTRAL EXPY STE 215
DALLAS, TX
ZIP 75231
Phone: (214) 396-4950
Fax: (877) 423-5360
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 2668640285 |
| PECOS Enrollment ID | I20120906000614 |
| 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 order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / 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 Medicare's 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.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 100 | |
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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. |
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| Promoting Interoperability (PI) | 25% | 96 | |
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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. |
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| Improvement Activities | 15% | 40 | |
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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 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. |
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| Cost | 20% | N/A | |
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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. |
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| MIPS Final Score | - | 98.8 | |
| 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. | |||
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Advance Care Plan | 100% | 335 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation 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. | ||
| Diabetes: Medical Attention for Nephropathy | 100% | 24 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period. | ||
| Documentation of Current Medications in the Medical Record | 100% | 1237 |
| Percentage of visits for patients aged 18 years and older for which the MIPS 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. | ||
| e-Prescribing | 97% | 183 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT. | ||
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Implementation of medication management practice improvements | Yes | N/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/orConduct periodic, structured medication reviews. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | 449 |
| 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. | ||
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 100% | 116 |
| Percentage of patients aged 18 years and older seen during the submitting period who were screened for high blood pressure AND a recommended follow-up plan is documented based on the current blood pressure (BP) reading as indicated. | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| - Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:- Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);- Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/orProvision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patients Electronic Access to Their Health Information | 94% | 151 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT). | ||
| Security Risk Analysis | Yes | N/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 electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Clinician Utilization
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 Medicare specialty, excluding evaluation and management codes.
- 411Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
- 179Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
- 35Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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 | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| METHODIST RICHARDSON MEDICAL CENTER | 2831 E PRESIDENT GEORGE BUSH HIGHWAY RICHARDSON, TX 75082 | (469) 204-1000 | Acute Care Hospitals | 450537 | |
| MEDICAL CITY PLANO | 3901 W 15TH ST PLANO, TX 75075 | (972) 596-6800 | Acute Care Hospitals | 450651 | |
| DALLAS REGIONAL MEDICAL CENTER | 1011 NORTH GALLOWAY AVENUE MESQUITE, TX 75149 | (214) 320-7000 | Acute Care Hospitals | 450688 | |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE | 6800 SCENIC DR ROWLETT, TX 75088 | (972) 412-2273 | Acute Care Hospitals | 450742 | |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE | 231 SOUTH COLLINS ROAD SUNNYVALE, TX 75182 | (972) 892-3000 | Acute Care Hospitals | 670060 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 0101249410 | VA | No | |
Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. | |||||||
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | N3969 | TX | No | |
Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 3127078 | MEDICAID (05) | TX |
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 3 | 6 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 6 | 6 | 0 | |
| 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 = 9 | 9 | ||||||||
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 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598743098 | DR. SUMIT KUMAR M.D. Individual | Internal Medicine (Nephrology) | 9900 N CENTRAL EXPY STE 215 DALLAS, TX 75231 (214) 396-4950 |
| 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 |
| 1730746199 | DOLLY SUSAN VARGHESE Individual | Nurse Practitioner | 9900 N CENTRAL EXPY STE 215 DALLAS, TX 75231 (214) 396-4950 |
| 1225297922 | DR. VIVEK SHARMA M.D. Individual | Internal Medicine (Nephrology) | 9900 N CENTRAL EXPY STE 215 DALLAS, TX 75231 (214) 396-4950 |
| 1659650091 | DR. 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 |
Frequently Asked Questions
What is Uma Pakkivenkata M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003003609, registered as an "individual" on September 27, 2007
Where is Uma Pakkivenkata M.D. located?
The provider is located at 9900 N Central Expy Ste 215 Dallas, Tx 75231 and the phone number is (214) 396-4950
Which is Uma Pakkivenkata M.D. specialty?
The provider's speciality is Internal Medicine with a focus in Nephrology
How many years of experience does Uma Pakkivenkata M.D. have?
The provider has more than 24 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 May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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. The provider obtained a high score in the following performance measures: Advance Care Plan, Diabetes: Medical Attention for Nephropathy, Documentation of Current Medications in the Medical Record, e-Prescribing, Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan, Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented , Provide Patients Electronic Access to Their Health Information. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
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 hospitals: METHODIST RICHARDSON MEDICAL CENTER, MEDICAL CITY PLANO, DALLAS REGIONAL MEDICAL CENTER, BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE and BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Uma Pakkivenkata M.D. 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]
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