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NEELIMA GADDAM MD
NPI 1134847726
Internal Medicine in Live Oak, TX

Active since August 18, 2022PECOS EnrolledAccepts Medicare Assignment
12602 TOEPPERWEIN RD STE 100, LIVE OAK, TX 78233(210) 646-1994(877) 212-6201 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2026, Aug 11, 2025, Aug 18, 2022 (3 updates tracked since 2022).

About Neelima Gaddam Md NPPES

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

NEELIMA GADDAM MD (NPI 1134847726) is an individual internal medicine provider in Live Oak, Texas, licensed in Texas (W0162) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1134847726
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNEELIMA GADDAMCredential: MD
Location Address12602 TOEPPERWEIN RD STE 100Live Oak, TX 78233-3204
Mailing Address12602 Toepperwein Rd Ste 100Live Oak, TX 78233-3204 · (210) 654-0030 · Fax (877) 212-6201
Phone(210) 646-1994
Fax(877) 212-6201
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 18, 2022
Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1134847726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · W0162
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12602 TOEPPERWEIN RD STE 100, Live Oak, TX 78233
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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

Neelima Gaddam 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 ID5698270726
PECOS Enrollment IDI20250927000371
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 Neelima Gaddam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conviva Medical Center Management Of Texas, P.A.
Same address
Internal Medicine
12602 TOEPPERWEIN RD STE 100
Live Oak, TX 78233
  • Reassigned Medicare billing, Texas enrollment
  • 161 clinicians in this Medicare group
NPI 1770988990 (210) 654-0030

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 78233 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 6

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

ROXANNE RODRIGUEZ P.A.-C
Physician Assistant
12602 TOEPPERWEIN RD STE 100
LIVE OAK, TX 78233
Bexar County (210) 654-0030
FAHD ALNORI M ALMOHID M.D.
Internal Medicine
12602 TOEPPERWEIN RD STE 100
LIVE OAK, TX 78233
Bexar County (210) 654-0030
SHAINA MOMIN NP
Nurse Practitioner (Family)
12602 TOEPPERWEIN RD STE 100
LIVE OAK, TX 78233
Bexar County (210) 654-0030
DR. DONALD GREGORY DETMERING M.D.
Family Medicine
12602 TOEPPERWEIN RD STE 100
LIVE OAK, TX 78233
Bexar County (210) 654-0030
CONVIVA MEDICAL CENTER MANAGEMENT OF TEXAS, P.A.
Internal Medicine
12602 TOEPPERWEIN RD STE 100
LIVE OAK, TX 78233
Bexar County (210) 654-0030
HAL VICTOR CARDIFF JR.
Pharmacist
12602 TOEPPERWEIN RD STE 100
LIVE OAK, TX 78233
Bexar County (210) 672-6509

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 Neelima Gaddam's NPI number?

The NPI number for Neelima Gaddam is 1134847726. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Neelima Gaddam located?

Neelima Gaddam practices at 12602 Toepperwein Rd Ste 100, Live Oak, TX 78233. The listed phone number is (210) 646-1994.

What is Neelima Gaddam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Neelima Gaddam enrolled in Medicare?

Yes. Neelima Gaddam 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 organization bills Medicare for Neelima Gaddam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neelima Gaddam reassigns Medicare benefits to Conviva Medical Center Management Of Texas, P.A. (Live Oak, 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 Neelima Gaddam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Neelima Gaddam was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.