AISHWARYA KAMALA DEVARAKONDA M.D.
NPI 1124551262
Pediatrics in Lubbock, TX

Active since April 05, 2017PECOS Enrolled
3601 4TH ST STOP 9406, LUBBOCK, TX 79430(806) 743-6630 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Aishwarya Kamala Devarakonda M.d. NPPES

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

AISHWARYA KAMALA DEVARAKONDA M.D. (NPI 1124551262) is an individual pediatrics provider in Lubbock, Texas, licensed in Texas (S6156) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124551262
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAISHWARYA KAMALA DEVARAKONDACredential: M.D.
Location Address3601 4TH ST STOP 9406Lubbock, TX 79430-9406
Mailing Address3601 4th St Stop 9406Lubbock, TX 79430-9406
Sole ProprietorNo
Enumeration DateApril 5, 2017
Last NPPES UpdateJuly 10, 2020
NPPES CertifiedJuly 10, 2020
NPI 1124551262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TX · S6156
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3601 4TH ST STOP 9406, Lubbock, TX 79430

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 (PECOS)

Aishwarya Kamala Devarakonda M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79430 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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 8

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

Hospitalist
3601 4TH ST STOP 9406, DEPARTMENT OF PEDIATRICS TTUHSC
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 9406
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 9406
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 9406
LUBBOCK, TX 79430
Pediatrics
3601 4TH ST STOP 9406
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 9406
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 9406
LUBBOCK, TX 79430
Pediatrics (Neonatal-Perinatal Medicine)
3601 4TH ST STOP 9406
LUBBOCK, TX 79430

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124551262, enumerated as an "individual" on April 05, 2017.

The provider is located at 3601 4TH ST STOP 9406 LUBBOCK, TX 79430 and the phone number is (806) 743-6630.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.