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SANGEETHA PABOLU M.D.
NPI 1093970022
Internal Medicine - Rheumatology in Round Rock, TX

Active since July 18, 2008PECOS EnrolledAccepts Medicare Assignment
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665(512) 509-0200(512) 509-0285 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2021, Aug 25, 2021, Jul 9, 2018 and 1 more (4 updates tracked since 2018).

About Sangeetha Pabolu M.d. NPPES

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

SANGEETHA PABOLU M.D. (NPI 1093970022) is an individual rheumatology provider in Round Rock, Texas, licensed in Texas (T3156) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center -taylor, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1093970022
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSANGEETHA PABOLUCredential: M.D.
Location Address425 UNIVERSITY BLVDRound Rock, TX 78665-1047
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Phone(512) 509-0200
Fax(512) 509-0285
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 18, 2008
Last NPPES UpdateSeptember 13, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
✔ NPI 1093970022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in TX · T3156✔ Licensed in NJ · 25MA10341600
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

425 UNIVERSITY BLVD, Round Rock, TX 78665
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Other Identifiers 1

Medicaid1532497TN

Accepted Insurance

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

Sangeetha Pabolu 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 ID9638318207
PECOS Enrollment IDI20210827001350
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.

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.
204 services98 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services43 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients

Hospital Affiliations CMS Care Compare 4

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

Baylor Scott & White Medical Center -Taylor

Critical Access Hospitals · Taylor, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451374
Location305 MallardTaylor, TX 76574 · Williamson County
Emergency services

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Pflugerville

Acute Care Hospitals · Pflugerville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670128
Location2600 East Pflugerville ParkwayPflugerville, TX 78660 · Travis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78665 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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%286 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%50 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%130 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%130 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
12%130 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
22%130 patients
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 20

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

DIANA D. NYE MD
Internal Medicine
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 901-4009
JENNIFER M KING LPC
Counselor (Professional)
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
MRS. NINA LAN CHENG-LO RN, MSN, CPNP
Nurse Practitioner (Pediatrics)
425 UNIVERSITY BLVD, STE 130
ROUND ROCK, TX 78665
Williamson County (512) 509-5437
DR. BRITTANY MICHELLE CHESSER PT, DPT
Physical Therapist
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-7603
JOHN CAMERON COPE PT, DPT
Physical Therapist
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
TEJAL BHALANI M.H.S (P.T)
Physical Therapist
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
MARC EDWARD GIBBONS PTA
Physical Therapy Assistant
425 UNIVERSITY BLVD, STE. 345
ROUND ROCK, TX 78665
Williamson County (512) 724-2111
CHELSEY STEINARSSON RD, LD, CDE
Dietitian, Registered
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200

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 Sangeetha Pabolu's NPI number?

The NPI number for Sangeetha Pabolu is 1093970022. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Where is Sangeetha Pabolu located?

Sangeetha Pabolu practices at 425 University Blvd, Round Rock, TX 78665. The listed phone number is (512) 509-0200.

What is Sangeetha Pabolu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sangeetha Pabolu enrolled in Medicare?

Yes. Sangeetha Pabolu 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 Sangeetha Pabolu accept?

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

According to CMS data, Sangeetha Pabolu is affiliated with Baylor Scott & White Medical Center -Taylor, Baylor Scott & White Medical Center - Round Rock, Baylor Scott & White Medical Center - Marble Falls and Baylor Scott & White Medical Center Pflugerville.

When was this NPI record last updated?

The NPPES record for Sangeetha Pabolu was last updated on September 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.