MADHURI GINJUPALLI M.D
NPI 1063764215
Internal Medicine in Houston, TX

Q: What is Madhuri Ginjupalli's NPI number?

The NPI number for Madhuri Ginjupalli is 1063764215. It was assigned to this individual provider in the NPPES registry on October 12, 2012.

Q: What is Madhuri Ginjupalli's specialty?

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

Active since October 12, 2012PECOS EnrolledAccepts Medicare Assignment

1140 BUSINESS CENTER DR STE 201, HOUSTON, TX 77043(713) 960-8008 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jan 19, 2018 (2 updates tracked since 2018).

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About Madhuri Ginjupalli M.d NPPES

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

MADHURI GINJUPALLI M.D (NPI 1063764215) is an individual internal medicine provider in Houston, Texas, licensed in Texas (Q0755) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1063764215

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMADHURI GINJUPALLICredential: M.D

Location Address1140 BUSINESS CENTER DR STE 201Houston, TX 77043-2744

Mailing Address1140 Business Center Dr Ste 201Houston, TX 77043-2744 · (732) 208-5162

Phone(713) 960-8008

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateOctober 12, 2012

Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration

NPPES CertifiedJuly 18, 2025

✔ NPI 1063764215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · Q0755

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 ListedEmergency MedicineTaxonomy 207P00000X · License Q0755 (TX)

Also ListedHospitalistTaxonomy 208M00000X · License Q0755 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1140 BUSINESS CENTER DR STE 201, Houston, TX 77043

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Secondary Practice Location 1

Location 1753 Classon Ave, Apt #3LBrooklyn, NY 11238-4647 · Phone (732) 208-5162

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice and more.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

Madhuri Ginjupalli 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 ID3274755954

PECOS Enrollment IDI20141113000268

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 4

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.

339 services160 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.

138 services92 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.

104 services103 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

25 services25 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450844

Location18220 State Highway 249Houston, TX 77070 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77043 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.

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%170 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 3

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 suppliers32 claims32 services$13.61 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 suppliers32 claims32 services$60.72 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers20 claims20 services$20.88 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 4

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

SARAH KAY TAYLOR FNP-BC

Nurse Practitioner (Family)

1140 BUSINESS CENTER DR STE 201
HOUSTON, TX 77043

Harris County (713) 932-5704

DR. JAY HOON KANG D.O.

Emergency Medicine

1140 BUSINESS CENTER DR STE 201
HOUSTON, TX 77043

Harris County (844) 797-5685

BRANDON ORTIZ M.D.

Pediatrics

1140 BUSINESS CENTER DR STE 201
HOUSTON, TX 77043

Harris County (713) 960-8008

ERIC MICHAEL BROWN MD

Emergency Medicine

1140 BUSINESS CENTER DR STE 201
HOUSTON, TX 77043

Harris County (713) 932-5757

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 Madhuri Ginjupalli's NPI number?

The NPI number for Madhuri Ginjupalli is 1063764215. It was assigned to this individual provider in the NPPES registry on October 12, 2012.

Where is Madhuri Ginjupalli located?

Madhuri Ginjupalli practices at 1140 Business Center Dr Ste 201, Houston, TX 77043. The listed phone number is (713) 960-8008.

What is Madhuri Ginjupalli's specialty?

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

Is Madhuri Ginjupalli enrolled in Medicare?

Yes. Madhuri Ginjupalli 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 Madhuri Ginjupalli accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Madhuri Ginjupalli 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 Madhuri Ginjupalli affiliated with any hospitals?

According to CMS data, Madhuri Ginjupalli is affiliated with Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Madhuri Ginjupalli was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.