JAYASANKAR K REDDY MD
NPI 1174562276
Internal Medicine - Nephrology in Wichita Falls, TX

Q: What is Jayasankar Reddy's NPI number?

The NPI number for Jayasankar Reddy is 1174562276. It was assigned to this individual provider in the NPPES registry on June 5, 2006. The provider is also known as Jayasankar R Kaluvapalle MD.

Q: What is Jayasankar Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Jayasankar Reddy was last updated on February 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

4412 KELL BLVD, WICHITA FALLS, TX 76309(940) 716-0557(940) 355-0028 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2023, Jun 8, 2022, Apr 13, 2020 (3 updates tracked since 2020).

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About Jayasankar K Reddy Md NPPES

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

JAYASANKAR K REDDY MD (NPI 1174562276) is an individual nephrology provider in Wichita Falls, Texas, licensed in Texas (N6404) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1174562276

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameJAYASANKAR K REDDYCredential: MD

Location Address4412 KELL BLVDWichita Falls, TX 76309-4719

Mailing Address4412 Kell BlvdWichita Falls, TX 76309-4719 · (940) 716-0557 · Fax (940) 355-0028

Phone(940) 716-0557

Fax(940) 355-0028

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateJune 5, 2006

Last NPPES UpdateFebruary 6, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2023

✔ NPI 1174562276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · N6404

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License N6404 (TX)

4412 KELL BLVD, Wichita Falls, TX 76309

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Other Names 1

Former Name (1)Jayasankar R Kaluvapalle Md

Other Identifiers 2

Medicaid213626901TX

Medicaid213626902TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Jayasankar K Reddy 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 ID2062460827

PECOS Enrollment IDI20100728000615

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 11

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.

2,239 services540 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.

791 services255 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.

745 services220 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

300 services47 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.

146 services119 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.

97 services97 patients

Hospital Affiliations CMS Care Compare 5

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450010

Location1600 11th StreetWichita Falls, TX 76301 · Wichita County

Emergency services Birthing friendly

Faith Community Hospital

Acute Care Hospitals · Jacksboro, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450241

Location215 Chisholm TrailJacksboro, TX 76458 · Jack County

Emergency services

Wilbarger General Hospital

Acute Care Hospitals · Vernon, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450584

Location920 Hillcrest DrVernon, TX 76384 · Wilbarger County

Emergency services

Electra Memorial Hospital

Critical Access Hospitals · Electra, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451343

Location1207 S Bailey StreetElectra, TX 76360 · Wichita County

Emergency services

Graham Regional Medical Center

Critical Access Hospitals · Graham, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number671300

Location1301 Montgomery RoadGraham, TX 76450 · Young County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76309 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.

75/100

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

Individually scored

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

90%213 patients4/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%2,140 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%1,798 patients4/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

1%147 patients1/55-star benchmark: 98%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%367 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

100%710 patients5/55-star benchmark: 100%

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

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

54%708 patients3/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 33% · 544 patients

36%544 patients

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

93%710 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

9%710 patients1/55-star benchmark: 79%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 474 patients

0%474 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.

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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.

CASEY JOSEPH HUMPHREY PA

Physician Assistant