DR. PADMAVATHI KUDARAVALLI MD
NPI 1144221953
Internal Medicine in Fremont, CA

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
51.71/100
CMS Quality Rating
2333 MOWRY AVE, STE 300, FREMONT, CA 94538(510) 284-4100(510) 794-9783 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Padmavathi Kudaravalli Md NPPES

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

DR. PADMAVATHI KUDARAVALLI MD (NPI 1144221953) is an individual internal medicine provider in Fremont, California, licensed in California (A67964) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1144221953
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PADMAVATHI KUDARAVALLICredential: MD
Location Address2333 MOWRY AVE, STE 300Fremont, CA 94538-1626
Mailing Address2333 Mowry Avenue, Suite 300Fremont, CA 94538-1626 · (510) 796-0222 · Fax (510) 796-7760
Fax(510) 794-9783
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 2, 2005
Last NPPES UpdateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
NPI 1144221953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A67964
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.
2333 MOWRY AVE, Fremont, CA 94538

Other Identifiers 1

Medicaid00A679640CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Padmavathi Kudaravalli 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 ID9436046406
PECOS Enrollment IDI20040309000288
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.

Areas of Expertise CMS Part B claims 20

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.
462 services180 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.
378 services95 patients
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.
177 services65 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
93 services68 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.
93 services70 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
92 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

51.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality49.89
Promoting Interoperability0
Improvement Activities0
Cost90.41

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%80 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
90%474 patients4/55-star benchmark: 100%
Breast Cancer Screening
0%191 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%324 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
1%384 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
56%253 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%155 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
68%155 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
1%2,010 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
3%301 patients1/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%50 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%817 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%741 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%971 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 702 patients
Patients screened: 97% · 702 patients
10%58 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
72%264 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 313 patients
Patients totalRate: 8% · 313 patients
7%313 patients4/55-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 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers45 claims124 services$4.64 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers27 claims39 services$0.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier61 claims61 services$14.00 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
1 supplier61 claims61 services$64.59 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 17

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

Obstetrics & Gynecology (Gynecology)
2333 MOWRY AVE, SUITE 201
FREMONT, CA 94538
Internal Medicine
2333 MOWRY AVE, SUITE # 300
FREMONT, CA 94538
Family Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Internal Medicine (Cardiovascular Disease)
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Internal Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Internal Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2333 MOWRY AVE, STE 300
FREMONT, CA 94538
Physician Assistant (Medical)
2333 MOWRY AVE, SUITE #220
FREMONT, CA 94538

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 Padmavathi Kudaravalli's NPI number?

The NPI number for Padmavathi Kudaravalli is 1144221953. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Padmavathi Kudaravalli located?

Padmavathi Kudaravalli practices at 2333 Mowry Ave Ste 300, Fremont, CA 94538. The listed phone number is (510) 284-4100.

What is Padmavathi Kudaravalli's specialty?

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

Is Padmavathi Kudaravalli enrolled in Medicare?

Yes. Padmavathi Kudaravalli 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.

When was this NPI record last updated?

The NPPES record for Padmavathi Kudaravalli was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.