UMA B.R.K PAKKIVENKATA M.D. NPI 1003003609

Internal Medicine in Dallas, TX

NPI 1003003609 Individual Male Years of Experience 22 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About UMA PAKKIVENKATA

Uma Pakkivenkata is an internal medicine provider established in Dallas, Texas and his medical specialization is internal medicine with more than 22 years of experience. The NPI number of Uma Pakkivenkata is 1003003609 and was assigned on September 2007. The practitioner's primary taxonomy code is 207R00000X with license number N3969 (TX). The provider is registered as an individual and his NPI record was last updated 8 years ago.

An internist like Uma B.r.k Pakkivenkata M.d. 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 healthcare 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 Dallas Regional Medical Center, Baylor Scott And White Medical Center Sunnyvale, Baylor Scott And White Medical Center Lake Pointe, Medical City Plano and Texas Health Presbyterian Hospital Kaufman.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: 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, medication reconciliation post-discharge, medication reconciliation post-discharge, onc direct review attestation, patient-specific education, pi bonus for submission of eligible improvement activities using cehrt, 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. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1003003609

Provider Name UMA B.R.K PAKKIVENKATA M.D.
Provider Location Address9900 N CENTRAL EXPY STE 215 DALLAS, TX 75231
Provider Mailing Address9900 N CENTRAL EXPY STE 215 DALLAS, TX 75231
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1999
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-27-2007
Last Update Date09-30-2013


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.N3969
License StateTX
Taxonomy DescriptionA 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.

Business Address

UMA B.R.K PAKKIVENKATA M.D.
9900 N CENTRAL EXPY STE 215
DALLAS, TX
ZIP 75231
Phone: (214) 396-4950
Fax: (877) 423-5360

Get Directions


Mailing Address

UMA B.R.K PAKKIVENKATA M.D.
9900 N CENTRAL EXPY STE 215
DALLAS, TX
ZIP 75231
Phone: (214) 396-4950
Fax: (877) 423-5360



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID2668640285
PECOS Enrollment IDI20120906000614
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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.

  • 221Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • 142Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • 142Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • 44Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)

Quality Reporting

The following quality measures meets 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 Rate 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
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.
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.
Medication Reconciliation Post-Discharge 100% 29
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing practitioner, registered nurse, or clinical pharmacist providing on-going care for whom the discharge medication list was reconciled with the current medication list in the outpatient medical record. This measure is reported as three rates stratified by age group: - Submission Criteria 1: 18-64 years of age - Submission Criteria 2: 65 years and older - Total Rate: All patients 18 years of age and older
Medication Reconciliation Post-Discharge 100% 44
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing practitioner, registered nurse, or clinical pharmacist providing on-going care for whom the discharge medication list was reconciled with the current medication list in the outpatient medical record. This measure is reported as three rates stratified by age group: - Submission Criteria 1: 18-64 years of age - Submission Criteria 2: 65 years and older - Total Rate: All patients 18 years of age and older
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.

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
DALLAS REGIONAL MEDICAL CENTER1011 NORTH GALLOWAY AVENUE
MESQUITE, TX 75149
(214) 320-7000Acute Care Hospitals450688
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE231 SOUTH COLLINS ROAD
SUNNYVALE, TX 75182
(972) 892-3000Acute Care Hospitals670060
BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE6800 SCENIC DR
ROWLETT, TX 75088
(972) 412-2273Acute Care Hospitals450742
MEDICAL CITY PLANO3901 W 15TH ST
PLANO, TX 75075
(972) 596-6800Acute Care Hospitals450651
TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN850 ED HALL
KAUFMAN, TX 75142
(972) 932-7200Acute Care Hospitals450292

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
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine0101249410VANo

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
3127078MEDICAID (05)TX
TXB161220MEDICARE PIN (08)TX

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598743098DR. 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
1821230178 WAEL SALAHELDIN HASSAN M.D.
Individual
Internal Medicine9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1730746199 DOLLY SUSAN VARGHESE
Individual
Nurse Practitioner9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1316233000DR. FAROUK TALAKSHI M.D.
Individual
Internal Medicine (Nephrology)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.