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KAVYA YEDATORE MSN, APRN, CPNP-PC
NPI 1114654480
Nurse Practitioner - Pediatrics in Austin, TX

Active since August 05, 2022PECOS Enrolled
4900 MUELLER BLVD, AUSTIN, TX 78723(512) 324-0000 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kavya Yedatore Msn, Aprn, Cpnp-pc NPPES

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

KAVYA YEDATORE MSN, APRN, CPNP-PC (NPI 1114654480) is an individual pediatrics provider in Austin, Texas, licensed in Texas (1003301) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114654480
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKAVYA YEDATORECredential: MSN, APRN, CPNP-PC
Location Address4900 MUELLER BLVDAustin, TX 78723-3051
Mailing Address9806 Tree Bend CvAustin, TX 78750-3837 · (512) 576-2891
Phone(512) 324-0000
Sole ProprietorNo
Enumeration DateAugust 5, 2022
NPPES CertifiedAugust 5, 2022
✔ NPI 1114654480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 1003301
4900 MUELLER BLVD, Austin, TX 78723
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, 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 (PECOS)

Kavya Yedatore Msn, Aprn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kavya Yedatore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dell Children's Medical Group
0.2 mi
Pediatrics
1301 BARBARA JORDAN BLVD STE 200
Austin, TX 78723
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dell Childrens Medical Group
  • 576 clinicians in this Medicare group
NPI 1326072943 (512) 628-1800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78723 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

JENNIFER KRENA
Nurse Practitioner (Pediatrics)
4900 MUELLER BLVD
AUSTIN, TX 78723
Travis County (512) 324-0000
PATRICK EMERSON DAY MD
Pediatrics (Pediatric Cardiology)
4900 MUELLER BLVD
AUSTIN, TX 78723
Travis County (512) 324-0000
RACHEL SCHROER APRN, CPNP-PC/AC
Nurse Practitioner (Pediatrics)
4900 MUELLER BLVD
AUSTIN, TX 78723
Travis County (512) 324-0000
ARTURO VARGAS RRT
Respiratory Therapist, Registered (Neonatal/Pediatrics)
4900 MUELLER BLVD
AUSTIN, TX 78723
Travis County (512) 324-0000
NICOLE R FRIEDMAN
Student in an Organized Health Care Education/Training Program
4900 MUELLER BLVD
AUSTIN, TX 78723
Travis County (512) 324-0000
TANIA EID
Pediatrics
4900 MUELLER BLVD, SUITE 3S.066C
AUSTIN, TX 78723
Travis County (512) 324-0165
RICHARD THOMPSON
Pediatrics
4900 MUELLER BLVD, SUITE 3S.066C
AUSTIN, TX 78723
Travis County (512) 324-0165
DR. KATHRYN BRAND M.D.
Pediatrics
4900 MUELLER BLVD, SUITE 3S.066C
AUSTIN, TX 78723
Travis County (512) 324-0165

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 Kavya Yedatore's NPI number?

The NPI number for Kavya Yedatore is 1114654480. It was assigned to this individual provider in the NPPES registry on August 5, 2022.

Where is Kavya Yedatore located?

Kavya Yedatore practices at 4900 Mueller Blvd, Austin, TX 78723. The listed phone number is (512) 324-0000.

What is Kavya Yedatore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kavya Yedatore enrolled in Medicare?

Yes. Kavya Yedatore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kavya Yedatore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kavya Yedatore reassigns Medicare benefits to Dell Children's Medical Group (Austin, 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 Kavya Yedatore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kavya Yedatore accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Kavya Yedatore 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.

When was this NPI record last updated?

The NPPES record for Kavya Yedatore was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.