DR. RAHUL KUMAR CHALLAPALLI MD
NPI 1205815818
Internal Medicine - Pulmonary Disease in Fort Myers, FL

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
79.77/100
CMS Quality Rating
6811 PORTO FINO CIR, FORT MYERS, FL 33912(239) 208-6648(239) 931-0221 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Mar 22, 2023, Mar 24, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Rahul Kumar Challapalli Md NPPES

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

DR. RAHUL KUMAR CHALLAPALLI MD (NPI 1205815818) is an individual pulmonary disease provider in Fort Myers, Florida, licensed in Florida (ME0105017) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1205815818
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RAHUL KUMAR CHALLAPALLICredential: MD
Location Address6811 PORTO FINO CIRFort Myers, FL 33912-4354
Mailing Address4820 Griffin BlvdFort Myers, FL 33908-2016 · (239) 208-6648 · Fax (239) 931-0221
Fax(239) 931-0221
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJune 28, 20245 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
NPI 1205815818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in FL · ME0105017 Licensed in NY · 181218
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 181218 (NY)
6811 PORTO FINO CIR, Fort Myers, FL 33912

Other Identifiers 2

Other145Z6FL · Bcbs
Medicaid001870100FL

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 and accepts Medicare assignment

Dr. Rahul Kumar Challapalli 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 ID4789721564
PECOS Enrollment IDI20091027000848
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.

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.
3,255 services443 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.
962 services239 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
501 services53 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.
254 services240 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
242 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
58 services57 patients

Hospital Affiliations CMS Care Compare 3

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

79.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.34
Promoting Interoperability100
Improvement Activities40
Cost55.23

Referred Medical Equipment & Supplies CMS DME claims 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers20 claims20 services$33.37 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers59 claims59 services$65.24 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers54 claims158 services$28.09 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers40 claims40 services$13.62 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
7 suppliers40 claims40 services$11.18 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
9 suppliers59 claims327 services$1.71 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 6

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

Nurse Practitioner (Family)
6811 PORTO FINO CIR
FORT MYERS, FL 33912
Physical Medicine & Rehabilitation (Pain Medicine)
6811 PORTO FINO CIR
FORT MYERS, FL 33912
Psychiatry & Neurology (Psychiatry)
6811 PORTO FINO CIR
FORT MYERS, FL 33912
Internal Medicine (Pulmonary Disease)
6811 PORTO FINO CIR
FORT MYERS, FL 33912
Internal Medicine
6811 PORTO FINO CIR
FORT MYERS, FL 33912
Plastic Surgery
6811 PORTO FINO CIR
FORT MYERS, FL 33912

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 Rahul Challapalli's NPI number?

The NPI number for Rahul Challapalli is 1205815818. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Rahul Challapalli located?

Rahul Challapalli practices at 6811 Porto Fino Cir, Fort Myers, FL 33912. The listed phone number is (239) 208-6648.

What is Rahul Challapalli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rahul Challapalli enrolled in Medicare?

Yes. Rahul Challapalli 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.

What insurance does Rahul Challapalli accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Rahul Challapalli 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 Rahul Challapalli affiliated with any hospitals?

According to CMS data, Rahul Challapalli is affiliated with Lee Memorial Hospital, Gulf Coast Medical Center Lee Health and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Rahul Challapalli was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.