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SIVARAM NEPPALA MD
NPI 1104385186
Hospitalist in San Antonio, TX

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000(210) 358-0647 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2022, Mar 18, 2019 (2 updates tracked since 2019).

About Sivaram Neppala Md NPPES

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

SIVARAM NEPPALA MD (NPI 1104385186) is an individual hospitalist provider in San Antonio, Texas, licensed in Texas (T4441) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Guadalupe Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104385186
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSIVARAM NEPPALACredential: MD
Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402
Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-4000 · Fax (210) 358-0647
Phone(210) 358-4000
Fax(210) 358-0647
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 18, 2019
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1104385186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · T4441
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License T4441 (TX)
4502 MEDICAL DR, San Antonio, TX 78229
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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, Community First, Imperial Insurance Companies, Inc. and more.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

Sivaram Neppala 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 ID5092108993
PECOS Enrollment IDI20220216001629
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

4

Medicare enrollment records show Sivaram Neppala reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uthscsa Dental School
0.2 mi
Oral and Maxillofacial Surgery
7703 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At San Antonio
  • 2,397 clinicians in this Medicare group
NPI 1750403887 (210) 567-3274
Hospital Medicine Services Of Tx, PLLC
0.4 mi
Hospitalist
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 681 clinicians in this Medicare group
NPI 1881392363 (210) 575-4000
Guadalupe County Hospital Board
36 mi
Hospitalist
1215 E COURT ST
Seguin, TX 78155
  • Reassigned Medicare billing, Texas enrollment
  • 40 clinicians in this Medicare group
NPI 1841512845 (830) 379-2411
Hcc Of Laredo LLC
148 mi
Internal Medicine
1700 E SAUNDERS ST
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
  • 94 clinicians in this Medicare group
NPI 1942712252 (866) 931-8882

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

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.
45 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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.

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.

EDUARDO N. POLLONO MD
Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
DR. MAHDIEH IRAN NEJAD PARIZI M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
RICHARD LEE BALLENTINE D.M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
MR. STEVAN REYES PTA
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4253
MRS. CLAIRE LELEUX BEADLE CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
NNENNA AWAGU CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-4500
DR. CYNTHIA N NGUYEN PHARMD
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 743-4034
DR. JONATHAN EDWARD SLOVIK MD
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000

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 Sivaram Neppala's NPI number?

The NPI number for Sivaram Neppala is 1104385186. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Sivaram Neppala located?

Sivaram Neppala practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 358-4000.

What is Sivaram Neppala's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sivaram Neppala enrolled in Medicare?

Yes. Sivaram Neppala 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 Sivaram Neppala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sivaram Neppala reassigns Medicare benefits to 4 organizations: Uthscsa Dental School (San Antonio, TX), Hospital Medicine Services Of Tx, PLLC (San Antonio, TX), Guadalupe County Hospital Board (Seguin, TX) and Hcc Of Laredo LLC (Laredo, TX). 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 Sivaram Neppala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sivaram Neppala accept?

Health plans from Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc., Oscar Insurance Company and UnitedHealthcare list Sivaram Neppala 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 Sivaram Neppala affiliated with any hospitals?

According to CMS data, Sivaram Neppala is affiliated with Guadalupe Regional Medical Center and University Health System.

When was this NPI record last updated?

The NPPES record for Sivaram Neppala was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.