ABHIJEET V KOLI MD
NPI 1023064656
Internal Medicine - Cardiovascular Disease in Georgetown, TX

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1900 SCENIC DR STE 3308, GEORGETOWN, TX 78626(512) 869-2566(512) 869-7434 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2022, May 16, 2018 (2 updates tracked since 2018).

About Abhijeet V Koli Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABHIJEET V KOLI MD (NPI 1023064656) is an individual cardiovascular disease provider in Georgetown, Texas, licensed in Texas (N7294) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (2003).

NPPES Registry Identity

NPI1023064656
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameABHIJEET V KOLICredential: MD
Location Address1900 SCENIC DR STE 3308Georgetown, TX 78626-7876
Mailing Address1900 Scenic Dr Ste 3308Georgetown, TX 78626-7876 · (512) 869-2566 · Fax (512) 869-7434
Fax(512) 869-7434
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2003
Enumeration DateMay 25, 2006
Last NPPES UpdateJanuary 27, 20222 updates tracked since enumeration
NPI 1023064656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in TX · N7294 Licensed in HI · MD15847
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036123894 (IL)
1900 SCENIC DR STE 3308, Georgetown, TX 78626

Other Identifiers 1

Medicaid1016296350001PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Abhijeet V Koli Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082711494
PECOS Enrollment IDI20180823001344
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 29

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
783 services628 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
755 services706 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
395 services379 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
246 services206 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
164 services161 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
98 services96 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
1900 SCENIC DR STE 3308
GEORGETOWN, TX 78626
Internal Medicine (Cardiovascular Disease)
1900 SCENIC DR STE 3308
GEORGETOWN, TX 78626
Clinical Nurse Specialist
1900 SCENIC DR STE 3308
GEORGETOWN, TX 78626
Physician Assistant (Medical)
1900 SCENIC DR STE 3308
GEORGETOWN, TX 78626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abhijeet Koli's NPI number?

The NPI number for Abhijeet Koli is 1023064656. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Abhijeet Koli located?

Abhijeet Koli practices at 1900 Scenic Dr Ste 3308, Georgetown, TX 78626. The listed phone number is (512) 869-2566.

What is Abhijeet Koli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Abhijeet Koli enrolled in Medicare?

Yes. Abhijeet Koli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Abhijeet Koli accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Abhijeet Koli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Abhijeet Koli affiliated with any hospitals?

According to CMS data, Abhijeet Koli is affiliated with St David's Medical Center, Round Rock Medical Center and Baylor Scott & White Medical Center - Round Rock.

When was this NPI record last updated?

The NPPES record for Abhijeet Koli was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.