DR. SIVA PRASAD SONTINENI M.D.
NPI 1114142403
Internal Medicine - Interventional Cardiology in Denton, TX

Q: What is Siva Sontineni's NPI number?

The NPI number for Siva Sontineni is 1114142403. It was assigned to this individual provider in the NPPES registry on April 13, 2007. The provider is also known as Dr. Siva Prasad S. M.D..

Q: What is Siva Sontineni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Siva Sontineni was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 13, 2007PECOS Enrolled

80.28/100

CMS Quality Rating

2701 SHORELINE DR STE 101, DENTON, TX 76210(469) 645-1155(469) 645-1210 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 22, 2026, Dec 31, 2025, Feb 26, 2016 (3 updates tracked since 2016).

On this page

About Dr. Siva Prasad Sontineni M.d. NPPES

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

DR. SIVA PRASAD SONTINENI M.D. (NPI 1114142403) is an individual interventional cardiology provider in Denton, Texas, licensed in Texas (P4112) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Medical City Lewisville, and maintains a secondary practice location in Lewisville.

NPPES Registry Identity

NPI1114142403

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. SIVA PRASAD SONTINENICredential: M.D.

Location Address2701 SHORELINE DR STE 101Denton, TX 76210-0175

Mailing AddressPo Box 293297Lewisville, TX 75029-3297 · (469) 645-1155 · Fax (866) 282-7202

Phone(469) 645-1155

Fax(469) 645-1210

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateApril 13, 2007

Last NPPES UpdateApril 22, 20263 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1114142403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in TX · P4112

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License P4112 (TX)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License P4112 (TX)

2701 SHORELINE DR STE 101, Denton, TX 76210

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Other Names 1

Former Name (1)Dr. Siva Prasad S. M.d.

Secondary Practice Location 1

Location 1118 Lynn Ave Ste 100Lewisville, TX 75057-3706 · Phone (469) 645-1155 · Fax (469) 645-1210

Other Identifiers 2

Medicaid3514952TX

OtherP01542377TX · Medicare Rail Road Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Dr. Siva Prasad Sontineni M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456528462

PECOS Enrollment IDI20140108000657

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 Reassignment

Medicare enrollment records show Siva Sontineni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Siva P Sontineni,md,pa.

Same address

Interventional Cardiology

2701 SHORELINE DR STE 101
Denton, TX 76210

Reassigned Medicare billing, Texas enrollment

NPI 1508242058 (469) 645-1155

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 21

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.

395 services187 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

324 services164 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

288 services281 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.

214 services105 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.

106 services101 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

96 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

94 services86 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

88 services32 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

82 services79 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

77 services67 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

62 services55 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

52 services51 patients

Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93241

This procedure involves wearing a device for up to 7 days to continuously record your heart's electrical activity. The data collected helps in understanding your heart's rhythm and detecting irregularities if any. The results are then analyzed, reported, and interpreted by experts.

35 services33 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

29 services29 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

25 services17 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.

25 services25 patients

Telephone, internet, or electronic health record assessment and management with verbal and written report by consulting physician, 5-10 minutes 99446

This service involves a brief 5-10 minute consultation with a physician over the phone or internet. The doctor will assess your health concerns and provide a verbal and written report of their findings. This is a convenient way to receive medical advice from the comfort of your home.

22 services20 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

18 services16 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

13 services13 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

13 services13 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Medical City Lewisville

Acute Care Hospitals · Lewisville, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450669

Location500 West Main StreetLewisville, TX 75057 · Denton County

Emergency services Birthing friendly

Texas Health Presbyterian Hospital Denton

Acute Care Hospitals · Denton, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450743

Location3000 N I-35Denton, TX 76201 · Denton County

Emergency services Birthing friendly

The Heart Hospital Baylor Denton

Acute Care Hospitals · Denton, TX

5/5 CMS rating

OwnershipPhysician

CMS Certification Number450893

Location2801 South Mayhill RoadDenton, TX 76208 · Denton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76210 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.

80.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

58.46

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Controlling High Blood Pressure

72%596 patients3/55-star benchmark: 98%

Coronary Artery Disease (CAD): Antiplatelet Therapy

85%595 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

93%2,911 patients3/55-star benchmark: 100%

e-Prescribing

100%1,553 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

83%1,029 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

31%699 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%417 patients5/55-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 2

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

2 suppliers11 claims12 services$12.84 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 suppliers18 claims19 services$58.67 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

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

SIVA P SONTINENI,MD,PA.

Internal Medicine (Interventional Cardiology)

2701 SHORELINE DR STE 101
DENTON, TX 76210

Denton County (469) 645-1155

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 Siva Sontineni's NPI number?

The NPI number for Siva Sontineni is 1114142403. It was assigned to this individual provider in the NPPES registry on April 13, 2007. The provider is also known as Dr. Siva Prasad S. M.D..

Where is Siva Sontineni located?

Siva Sontineni practices at 2701 Shoreline Dr Ste 101, Denton, TX 76210. The listed phone number is (469) 645-1155.

What is Siva Sontineni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Siva Sontineni enrolled in Medicare?

Yes. Siva Sontineni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Siva Sontineni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Siva Sontineni reassigns Medicare benefits to Siva P Sontineni,md,pa. (Denton, TX). The 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 Siva Sontineni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Siva Sontineni accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Siva Sontineni 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 Siva Sontineni affiliated with any hospitals?

According to CMS data, Siva Sontineni is affiliated with Medical City Lewisville, Texas Health Presbyterian Hospital Denton and The Heart Hospital Baylor Denton.

When was this NPI record last updated?

The NPPES record for Siva Sontineni was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.