DR. PRAVEEN KALIPATNAM RAO M.D.
NPI 1043448285
Internal Medicine - Clinical Cardiac Electrophysiology in Dallas, TX

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment
621 N HALL ST STE 400, DALLAS, TX 75226(469) 800-7400 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2022, Sep 15, 2017 (2 updates tracked since 2017).

About Dr. Praveen Kalipatnam Rao M.d. NPPES

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

DR. PRAVEEN KALIPATNAM RAO M.D. (NPI 1043448285) is an individual clinical cardiac electrophysiology provider in Dallas, Texas, licensed in Texas (R2451) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (2009).

NPPES Registry Identity

NPI1043448285
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. PRAVEEN KALIPATNAM RAOCredential: M.D.
Location Address621 N HALL ST STE 400Dallas, TX 75226-1316
Mailing Address621 N Hall St Ste 400Dallas, TX 75226-1316
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2009
Enumeration DateJune 25, 2009
Last NPPES UpdateApril 8, 20222 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
NPI 1043448285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in TX · R2451
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2009014213 (MO)
621 N HALL ST STE 400, Dallas, TX 75226

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

Dr. Praveen Kalipatnam Rao M.d. 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 ID1355597311
PECOS Enrollment IDI20170809001624
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 41

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,588 services1,316 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
599 services295 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
381 services193 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.
332 services316 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
311 services49 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
210 services108 patients

Hospital Affiliations CMS Care Compare 4

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450372
Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450851
Location621 North Hall StreetDallas, TX 75226 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75226 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers12 claims12 services$12.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers12 claims12 services$55.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Cardiovascular Disease)
621 N HALL ST STE 400
DALLAS, TX 75226
Physician Assistant
621 N HALL ST STE 400
DALLAS, TX 75226
Nurse Practitioner (Adult Health)
621 N HALL ST STE 400
DALLAS, TX 75226

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 Praveen Rao's NPI number?

The NPI number for Praveen Rao is 1043448285. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Praveen Rao located?

Praveen Rao practices at 621 N Hall St Ste 400, Dallas, TX 75226. The listed phone number is (469) 800-7400.

What is Praveen Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Praveen Rao enrolled in Medicare?

Yes. Praveen Rao 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 Praveen Rao accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Praveen Rao 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 Praveen Rao affiliated with any hospitals?

According to CMS data, Praveen Rao is affiliated with Baylor University Medical Center, Hendrick Medical Center, Baylor Scott & White Medical Center- Waxahachie and Baylor Scott & White Heart & Vascular Hospital - Dallas.

When was this NPI record last updated?

The NPPES record for Praveen Rao was last updated on April 8, 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.