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AMEET VENKAT THATISHETTY MD
NPI 1053506949
Internal Medicine in Plano, TX

Active since September 13, 2007PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
6200 W PARKER RD, PLANO, TX 75093(972) 981-3225(972) 981-3967 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ameet Venkat Thatishetty Md NPPES

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

AMEET VENKAT THATISHETTY MD (NPI 1053506949) is an individual internal medicine provider in Plano, Texas, licensed in Texas (R5944) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1053506949
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAMEET VENKAT THATISHETTYCredential: MD
Location Address6200 W PARKER RDPlano, TX 75093-8185
Mailing Address6200 W Parker RdPlano, TX 75093-8185 · (972) 981-3225 · Fax (972) 981-3967
Phone(972) 981-3225
Fax(972) 981-3967
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 13, 2007
Last NPPES UpdateApril 21, 2020
NPPES CertifiedApril 21, 2020
✔ NPI 1053506949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · R5944✔ Licensed in GA · 061524
Definition
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.
Also ListedHospitalistTaxonomy 208M00000X · License 061524 (GA)
6200 W PARKER RD, Plano, TX 75093
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Other Identifiers 7

Medicaid398928354AGA
Other473627GA · Wellcare
Other01343899Amerigroup
OtherP00803285Rr Medicare
Medicaid398928354BGA
MedicaidG61524SC
OtherP00635639GA · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Ameet Venkat Thatishetty 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 ID5496823312
PECOS Enrollment IDI20191003002786
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ameet Thatishetty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Health Physicians Group
12 mi
Internal Medicine
8440 WALNUT HILL LN STE 800
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1053767897 (214) 860-6300
Texas Health Virtual Care
12 mi
Internal Medicine
8200 WALNUT HILL LN FL 4
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 284 clinicians in this Medicare group
NPI 1942951199 (214) 345-8001
Cogent Healthcare Of Georgia PC
763 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

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 5

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 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.
476 services215 patients
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.
253 services114 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
214 services209 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
104 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.
84 services84 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Reported Quality Measures

Care Plan
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…
99%144 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims

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

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$56.08 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 20

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

DR. MARIA LOVE LEE M.D.
Internal Medicine
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 293-5151
AISHWARYA JUTTU
Student in an Organized Health Care Education/Training Program
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 981-7255
PAUL GERARD BOULET
Student in an Organized Health Care Education/Training Program
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 981-8000
TAYLOR NICOLE MCFARLIN CRNA
Nurse Anesthetist, Certified Registered
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 981-8000
PHYSICIAN ASSISTANT SERVICES OF TEXAS L.L.P
Physician Assistant (Medical)
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 599-0080
MR. AHMED Z SYED P.A.
Physician Assistant (Surgical)
6200 W PARKER RD
PLANO, TX 75093
Collin County (214) 808-3559
IJEOMA IKEH NP
Nurse Practitioner (Psychiatric/Mental Health)
6200 W PARKER RD
PLANO, TX 75093
Collin County (864) 529-1674
MICHAEL JASON MERCADO DO
Family Medicine
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 981-3225

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 Ameet Thatishetty's NPI number?

The NPI number for Ameet Thatishetty is 1053506949. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Where is Ameet Thatishetty located?

Ameet Thatishetty practices at 6200 W Parker Rd, Plano, TX 75093. The listed phone number is (972) 981-3225.

What is Ameet Thatishetty's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ameet Thatishetty enrolled in Medicare?

Yes. Ameet Thatishetty 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 Ameet Thatishetty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ameet Thatishetty reassigns Medicare benefits to 3 organizations: Texas Health Physicians Group (Dallas, TX), Texas Health Virtual Care (Dallas, TX) and Cogent Healthcare Of Georgia PC (Macon, GA). 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 Ameet Thatishetty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ameet Thatishetty accept?

Health plans from Blue Cross and Blue Shield of Texas list Ameet Thatishetty 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 Ameet Thatishetty affiliated with any hospitals?

According to CMS data, Ameet Thatishetty is affiliated with Texas Health Presbyterian Hospital Plano.

When was this NPI record last updated?

The NPPES record for Ameet Thatishetty was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.