DR. PAVAN GANAPATHIRAJU DO, MPH
NPI 1023469988
Internal Medicine - Pulmonary Disease in Austin, TX
About Dr. Pavan Ganapathiraju Do, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAVAN GANAPATHIRAJU DO, MPH (NPI 1023469988) is an individual pulmonary disease provider in Austin, Texas, licensed in Connecticut (1.069754-DO) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Pavan Ganapathiraju Do, Mph 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.
Medicare Billing Reassignments
4Medicare enrollment records show Pavan Ganapathiraju reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hazlehurst, MS 39083
- Reassigned Medicare billing, Mississippi enrollment
- 88 clinicians in this Medicare group
Sumter, SC 29150
- Reassigned Medicare billing, Connecticut enrollment
- 4 clinicians in this Medicare group
New York, NY 10016
- Reassigned Medicare billing, Texas enrollment
- 62 clinicians in this Medicare group
Greenwich, CT 06830
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78744 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78744
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 Pavan Ganapathiraju's NPI number?
The NPI number for Pavan Ganapathiraju is 1023469988. It was assigned to this individual provider in the NPPES registry on June 22, 2016.
Where is Pavan Ganapathiraju located?
Pavan Ganapathiraju practices at 7901 Metropolis Dr, Austin, TX 78744. The listed phone number is (512) 823-4000.
What is Pavan Ganapathiraju's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Pavan Ganapathiraju enrolled in Medicare?
Yes. Pavan Ganapathiraju 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.
Which organizations bill Medicare for Pavan Ganapathiraju's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pavan Ganapathiraju reassigns Medicare benefits to 4 organizations: Copiah County Medical Center (Hazlehurst, MS), Ccmma Sc LLC (Sumter, SC), Ccmma Tx PLLC (New York, NY) and Mill Hill Medical Consultants Inc (Greenwich, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pavan Ganapathiraju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pavan Ganapathiraju accept?
Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Pavan Ganapathiraju 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.
When was this NPI record last updated?
The NPPES record for Pavan Ganapathiraju was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Pavan Ganapathiraju, DO, MPH · NPI 1023469988
Pulmonary Disease physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since June 22, 2016.
## Identity
- **NPI:** 1023469988 (Entity type: Individual)
- **Enumerated:** June 22, 2016
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 1.069754-DO (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 7901 METROPOLIS DR, Austin, TX 78744-3111
- **Phone:** (512) 823-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Copiah County Medical Center (NPI 1083039663, Hazlehurst, MS); Ccmma Sc LLC (NPI 1245715796, Sumter, SC); Ccmma Tx PLLC (NPI 1841829819, New York, NY); Mill Hill Medical Consultants Inc (NPI 1396755245, Greenwich, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1023469988) · Data from the CMS NPPES public registry.