DR. MEGHA AMBATI
NPI 1083849111
Internal Medicine in Walnut Creek, CA

Active since May 19, 2009PECOS EnrolledAccepts Medicare Assignment
91.85/100
CMS Quality Rating
1220 ROSSMOOR PKWY, WALNUT CREEK, CA 94595(925) 947-3312 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Megha Ambati NPPES

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

DR. MEGHA AMBATI (NPI 1083849111) is an individual internal medicine provider in Walnut Creek, California, licensed in California (A125755) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1083849111
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MEGHA AMBATI
Location Address1220 ROSSMOOR PKWYWalnut Creek, CA 94595
Mailing Address1450 Treat Blvd # 300Walnut Creek, CA 94597-2168 · (925) 952-2888 · Fax (925) 952-2850
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2009
Enumeration DateMay 19, 2009
Last NPPES UpdateApril 18, 2019
NPI 1083849111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A125755
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.

1220 ROSSMOOR PKWY, Walnut Creek, CA 94595

Secondary Practice Location 1

Location 12700 Grant St Ste 200Concord, CA 94520 · Phone (925) 674-2609

Other Identifiers 1

OtherP01395804CA · Railroad Medicare

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. Megha Ambati 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 ID1658599048
PECOS Enrollment IDI20240814004905
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 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.
157 services70 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.
45 services28 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.
44 services44 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.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94595 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

91.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.53
Promoting Interoperability100
Improvement Activities40
Cost68.01

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$42.13 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.

Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Family Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Hospitalist
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Hospitalist
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595

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 Megha Ambati's NPI number?

The NPI number for Megha Ambati is 1083849111. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Where is Megha Ambati located?

Megha Ambati practices at 1220 Rossmoor Pkwy, Walnut Creek, CA 94595. The listed phone number is (925) 947-3312.

What is Megha Ambati's specialty?

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

Is Megha Ambati enrolled in Medicare?

Yes. Megha Ambati 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 Megha Ambati accept?

Health plans from Blue Cross and Blue Shield of Texas list Megha Ambati 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 Megha Ambati affiliated with any hospitals?

According to CMS data, Megha Ambati is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Megha Ambati was last updated on April 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.