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SANTOSH K MUPPARAPU MD
NPI 1073797973
Internal Medicine in Dallas, TX

Active since December 27, 2007PECOS EnrolledAccepts Medicare Assignment
12221 MERIT DR., SUITE 1500, DALLAS, TX 75251(214) 217-1911(214) 217-1912 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Santosh K Mupparapu Md NPPES

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

SANTOSH K MUPPARAPU MD (NPI 1073797973) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (Q4476) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Dallas, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1073797973
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANTOSH K MUPPARAPUCredential: MD
Location Address12221 MERIT DR., SUITE 1500Dallas, TX 75251-2202
Mailing Address12221 Merit Dr., Suite 1500Dallas, TX 75251-2202 · (214) 217-1911 · Fax (214) 217-1912
Phone(214) 217-1911
Fax(214) 217-1912
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 27, 2007
Last NPPES UpdateJanuary 7, 2016
✔ NPI 1073797973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · Q4476
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.
12221 MERIT DR., Dallas, TX 75251
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Accepted Insurance

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

Santosh K Mupparapu 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 ID2961575402
PECOS Enrollment IDI20160202001015
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 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 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.
589 services239 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.
176 services175 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.
164 services88 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
52 services48 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.
45 services45 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 Dallas

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450462
Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75251 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.

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%218 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.

Other Providers at the Same Location NPPES 11

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

DR. ATISH D PATEL
Internal Medicine
12221 MERIT DR., STE. 1500
DALLAS, TX 75251
Dallas County (214) 217-1900
VENKATA MADHURI KOYYA M.D.
Internal Medicine
12221 MERIT DR., SUITE 1500
DALLAS, TX 75251
Dallas County (214) 217-1911
JUSTICE U ODU MD.
Internal Medicine
12221 MERIT DR., SUITE 1500
DALLAS, TX 75251
Dallas County (214) 217-1900
ZULFIQAR M JUSSA MD
Internal Medicine
12221 MERIT DR., STE 1500
DALLAS, TX 75251
Dallas County (702) 464-8866
DR. HADI K LADAK M.D.
Internal Medicine
12221 MERIT DR., STE 910
DALLAS, TX 75251
Dallas County (214) 217-1900
MUHAMMAD ADNAN MD
Internal Medicine
12221 MERIT DR., STE 1500
DALLAS, TX 75251
Dallas County (214) 217-1900
MRS. YEN T NGUYEN NP
Nurse Practitioner (Acute Care)
12221 MERIT DR., SUITE 1500
DALLAS, TX 75251
Dallas County (214) 234-2750
BRIAN KRISTOFF CHAM YU MD
Internal Medicine
12221 MERIT DR., STE 1500
DALLAS, TX 75251
Dallas County (214) 217-1900

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 Santosh Mupparapu's NPI number?

The NPI number for Santosh Mupparapu is 1073797973. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Where is Santosh Mupparapu located?

Santosh Mupparapu practices at 12221 Merit Dr. Suite 1500, Dallas, TX 75251. The listed phone number is (214) 217-1911.

What is Santosh Mupparapu's specialty?

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

Is Santosh Mupparapu enrolled in Medicare?

Yes. Santosh Mupparapu 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 Santosh Mupparapu accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Santosh Mupparapu 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 Santosh Mupparapu affiliated with any hospitals?

According to CMS data, Santosh Mupparapu is affiliated with Texas Health Presbyterian Hospital Dallas.

When was this NPI record last updated?

The NPPES record for Santosh Mupparapu was last updated on January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.