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PADMAVATI RAJENDRA KUMASHI MD
NPI 1033216643
Internal Medicine - Infectious Disease in Houston, TX

Active since September 19, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1125 CYPRESS STATION DR, G1, HOUSTON, TX 77090(281) 587-8777(281) 587-2577 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Padmavati Rajendra Kumashi Md NPPES

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

PADMAVATI RAJENDRA KUMASHI MD (NPI 1033216643) is an individual infectious disease provider in Houston, Texas, licensed in Texas (M1192) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1033216643
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NamePADMAVATI RAJENDRA KUMASHICredential: MD
Location Address1125 CYPRESS STATION DR, G1Houston, TX 77090-3054
Mailing Address1125 Cypress Station Dr, G1Houston, TX 77090-3054 · (281) 587-8777 · Fax (281) 587-2577
Phone(281) 587-8777
Fax(281) 587-2577
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 19, 2006
Last NPPES UpdateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1033216643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · M1192
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

1125 CYPRESS STATION DR, Houston, TX 77090
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Oscar Insurance Company.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

Padmavati Rajendra Kumashi 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 ID4183526130
PECOS Enrollment IDI20050705000256
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
695 services148 patients
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.
286 services103 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
209 services167 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
92 services38 patients
Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
23 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Northwest

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450638
Location710 Cypress Creek ParkwayHouston, TX 77090 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77090 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
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

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
63%344 patients2/55-star benchmark: 100%
Medication Reconciliation
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.
61%49 patients2/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
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…
Patients 65+: 100% · 76 patients
100%92 patients
Patient-Specific Education
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.
36%159 patients2/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
100%113 patients5/55-star benchmark: 100%
Provide Patient Access
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…
87%159 patients4/55-star benchmark: 100%
Secure Messaging
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…
9%159 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

DR. RISHI SHYAM HINGORANI DO
Family Medicine
1125 CYPRESS STATION DR, STE B-4
HOUSTON, TX 77090
Harris County (281) 440-1400
VETRXMEDS INC
Pharmacy (Community/Retail Pharmacy)
1125 CYPRESS STATION DR, STE B3
HOUSTON, TX 77090
Harris County (832) 286-1341
RISHI HINGORANI, D.O. P.A.
Family Medicine
1125 CYPRESS STATION DR, SUITE B 4
HOUSTON, TX 77090
Harris County (281) 440-1400
ESSAM A GIRGAWY MD
Internal Medicine (Infectious Disease)
1125 CYPRESS STATION DR, SUITE G1
HOUSTON, TX 77090
Harris County (281) 587-8777
CYPRESS STATION SLEEP CENTER INC
Clinic/Center (Sleep Disorder Diagnostic)
1125 CYPRESS STATION DR, SUITE E
HOUSTON, TX 77090
Harris County (281) 537-6300
MR. JIMMIE C. WHITLEY ED.D.
Psychologist (Clinical)
1125 CYPRESS STATION DR, BUILDING B-1
HOUSTON, TX 77090
Harris County (281) 537-7207
MOHSIN K BAJWA MD
Internal Medicine (Pulmonary Disease)
1125 CYPRESS STATION DR, SUITE E
HOUSTON, TX 77090
Harris County (281) 537-6300
SALAH Y GHOBRIAL MD
Internal Medicine (Pulmonary Disease)
1125 CYPRESS STATION DR, SUITE E
HOUSTON, TX 77090
Harris County (281) 537-6300

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 Padmavati Kumashi's NPI number?

The NPI number for Padmavati Kumashi is 1033216643. It was assigned to this individual provider in the NPPES registry on September 19, 2006.

Where is Padmavati Kumashi located?

Padmavati Kumashi practices at 1125 Cypress Station Dr G1, Houston, TX 77090. The listed phone number is (281) 587-8777.

What is Padmavati Kumashi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Padmavati Kumashi enrolled in Medicare?

Yes. Padmavati Kumashi 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 Padmavati Kumashi accept?

Health plans from Community Health Choice and Oscar Insurance Company list Padmavati Kumashi 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 Padmavati Kumashi affiliated with any hospitals?

According to CMS data, Padmavati Kumashi is affiliated with Memorial Hermann Hospital System and Hca Houston Healthcare Northwest.

When was this NPI record last updated?

The NPPES record for Padmavati Kumashi was last updated on May 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.