DR. HEMA KORLAKUNTA M.D.
NPI 1174604789
Internal Medicine - Cardiovascular Disease in Denton, TX

Q: What is Hema Korlakunta's NPI number?

The NPI number for Hema Korlakunta is 1174604789. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Hema Korlakunta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Hema Korlakunta was last updated on January 16, 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.

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

2245 BRINKER RD STE 100, DENTON, TX 76208(940) 312-6262(940) 312-6261 Get Directions Write a Review

NPPES record last updated: January 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 16, 2022, Mar 18, 2019, May 17, 2016 (3 updates tracked since 2016).

On this page

About Dr. Hema Korlakunta M.d. NPPES

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

DR. HEMA KORLAKUNTA M.D. (NPI 1174604789) is an individual cardiovascular disease provider in Denton, Texas, licensed in Texas (N0182) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1174604789

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameDR. HEMA KORLAKUNTACredential: M.D.

Location Address2245 BRINKER RD STE 100Denton, TX 76208-6175

Mailing AddressPo Box 649Coppell, TX 75019-0649 · (940) 312-6262 · Fax (940) 312-6261

Phone(940) 312-6262

Fax(940) 312-6261

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateOctober 18, 2006

Last NPPES UpdateJanuary 16, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2022

✔ NPI 1174604789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in TX · N0182

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 23217 (NE)

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License N0182 (TX)

2245 BRINKER RD STE 100, Denton, TX 76208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Dr. Hema Korlakunta M.d. 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 ID5799963914

PECOS Enrollment IDI20110616000777

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 Reassignments

Medicare enrollment records show Hema Korlakunta reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hema L Korlakunta, MD, PA

Same address

Cardiovascular Disease

2245 BRINKER RD, SUITE 100
Denton, TX 76208

Reassigned Medicare billing, Texas enrollment
2 clinicians in this Medicare group

NPI 1295156073 (940) 312-6262

Divine Savior Healthcare, Inc.

826 mi

General Acute Care Hospital

2817 NEW PINERY RD
Portage, WI 53901

Reassigned Medicare billing, Wisconsin enrollment
359 clinicians in this Medicare group

NPI 1124083894 (608) 742-4131

Aspirus Riverview Hospital & Clinics, Inc.

841 mi

Multi-Specialty

419 N OAK ST
Adams, WI 53910

Reassigned Medicare billing, Wisconsin enrollment
397 clinicians in this Medicare group

NPI 1114411287 (608) 339-5250

Aspirus Stanley Hospital & Clinics, Inc.

859 mi

Rural Health

6 JOHNSON ST
Owen, WI 54460

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1053391730 (Wisconsin)
48 clinicians in this Medicare group

NPI 1700866399 (715) 229-2177

Aspirus Riverview Hospital & Clinics, Inc.

866 mi

Rural Health

420 DEWEY ST
Wisconsin Rapids, WI 54494

Reassigned Medicare billing, Wisconsin and Michigan enrollments
Medicare enrollment name: Aspirus Medical Group, Inc.
Also billed through NPI 1568765550 (Michigan)
415 clinicians in this Medicare group

NPI 1568821122 (715) 422-7750

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

877 mi

Clinic/Center

2401 PLOVER RD
Plover, WI 54467

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1598715401 (Wisconsin)
935 clinicians in this Medicare group

NPI 1053080168 (715) 295-3800

Aspirus Stevens Point Hospital & Clinics, Inc.

880 mi

General Practice

3500 HOOVER RD
Stevens Point, WI 54481

Reassigned Medicare billing, Wisconsin enrollment
619 clinicians in this Medicare group

NPI 1184082745 (715) 342-7900

Aspirus Medford Hospital & Clinics, Inc.

892 mi

Rural Health

320 EAST MAIN
Gilman, WI 54433

Reassigned Medicare billing, Wisconsin enrollment
376 clinicians in this Medicare group

NPI 1285703173 (715) 447-8293

Langlade Memorial Hospital Hotel Dieu Of St Joseph

905 mi

Clinic/Center

215 N 28TH AVE
Wausau, WI 54401

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin
Also billed through NPI 1821151366 (Wisconsin)
321 clinicians in this Medicare group

NPI 1871630863 (715) 847-2304

Aspirus Medical Group, Inc.

905 mi

Cardiovascular Disease

500 WIND RIDGE DR
Wausau, WI 54401

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Aspirus Iron River Hospital & Clinics Inc
Also billed through NPI 1457865198 (Michigan)
200 clinicians in this Medicare group

NPI 1033411822 (715) 847-2611

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

Areas of Expertise CMS Part B claims 16

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.

507 services210 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

180 services159 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

171 services168 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.

139 services105 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

112 services28 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

107 services65 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

89 services87 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.

75 services72 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.

65 services44 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

56 services56 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

55 services55 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

52 services52 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

26 services26 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.

23 services23 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

19 services18 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Texoma Medical Center

Acute Care Hospitals · Denison, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450324

Location5016 S Us Highway 75Denison, TX 75020 · Grayson County

Emergency services Birthing friendly

Medical City Lewisville

Acute Care Hospitals · Lewisville, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450669

Location500 West Main StreetLewisville, TX 75057 · Denton County

Emergency services Birthing friendly

Texas Health Presbyterian Hospital Denton

Acute Care Hospitals · Denton, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450743

Location3000 N I-35Denton, TX 76201 · Denton County

Emergency services Birthing friendly

The Heart Hospital Baylor Denton

Acute Care Hospitals · Denton, TX

5/5 CMS rating

OwnershipPhysician

CMS Certification Number450893

Location2801 South Mayhill RoadDenton, TX 76208 · Denton County

Emergency services

Medical City Alliance

Acute Care Hospitals · Fort Worth, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670103

Location3101 North Tarrant ParkwayFort Worth, TX 76177 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76208 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

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

3%87 patients1/55-star benchmark: 95%

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%1,939 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.

84%747 patients2/55-star benchmark: 99%

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…

2%120 patients1/55-star benchmark: 88%

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…

17%816 patients1/55-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 screenedForUse: 45% · 562 patients

Patients tobacco: 41% · 562 patients

15%26 patients1/55-star benchmark: 98%

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…

100%390 patients5/55-star benchmark: 100%

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% · 466 patients

2%466 patients4/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

0%390 patients

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.

Other Providers at the Same Location NPPES 2

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

B KENT SMITH DDS PA

Dentist (General Practice)

2245 BRINKER RD STE 100
DENTON, TX 76208

Denton County (844) 409-4657

SLEEP MEDICINE ASSOCIATES OF TEXAS, P.A.

Clinic/Center (Sleep Disorder Diagnostic)

2245 BRINKER RD STE 100
DENTON, TX 76208

Denton County (214) 750-7776

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 Hema Korlakunta's NPI number?

The NPI number for Hema Korlakunta is 1174604789. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Hema Korlakunta located?

Hema Korlakunta practices at 2245 Brinker Rd Ste 100, Denton, TX 76208. The listed phone number is (940) 312-6262.

What is Hema Korlakunta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Hema Korlakunta enrolled in Medicare?

Yes. Hema Korlakunta 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 organizations bill Medicare for Hema Korlakunta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hema Korlakunta reassigns Medicare benefits to 16 organizations: Hema L Korlakunta, MD, PA (Denton, TX), Divine Savior Healthcare, Inc. (Portage, WI), Aspirus Riverview Hospital & Clinics, Inc. (Adams, WI), Aspirus Stanley Hospital & Clinics, Inc. (Owen, WI), Aspirus Riverview Hospital & Clinics, Inc. (Wisconsin Rapids, WI) and 11 more organizations, listed in the Medicare section above. Each 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 Hema Korlakunta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hema Korlakunta accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 9 other insurers list Hema Korlakunta 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.

Is Hema Korlakunta affiliated with any hospitals?

According to CMS data, Hema Korlakunta is affiliated with Texoma Medical Center, Medical City Lewisville, Texas Health Presbyterian Hospital Denton, The Heart Hospital Baylor Denton and Medical City Alliance.

When was this NPI record last updated?

The NPPES record for Hema Korlakunta was last updated on January 16, 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.