RAJEEV RAMADUGU M.B.B.S
NPI 1235243379
Hospitalist in Houston, TX

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
18220 STATE HIGHWAY 249 STE 1360, HOUSTON, TX 77070(281) 737-0587 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rajeev Ramadugu M.b.b.s NPPES

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

RAJEEV RAMADUGU M.B.B.S (NPI 1235243379) is an individual hospitalist provider in Houston, Texas, licensed in Texas (P9939) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1235243379
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRAJEEV RAMADUGUCredential: M.B.B.S
Location Address18220 STATE HIGHWAY 249 STE 1360Houston, TX 77070
Mailing Address18220 State Highway 249 Ste 1360Houston, TX 77070-4347 · (281) 737-0587
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 18, 2006
Last NPPES UpdateMarch 4, 2019
NPI 1235243379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in TX · P9939 Licensed in IL · 036131599
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01061444A (IN), A94292 (CA), 036131599 (IL)
18220 STATE HIGHWAY 249 STE 1360, Houston, TX 77070

Secondary Practice Location 1

Location 1710 Fm 1960 Rd W, Houston Northwest Medical Center, C/O Intercede HealthHouston, TX 77090-3402 · Phone (281) 440-2692 · Fax (281) 440-2653

Other Identifiers 2

Medicaid343246004TX
Medicaid036131599IL

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

Rajeev Ramadugu M.b.b.s 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 ID2466623434
PECOS Enrollment IDI20141203000586
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 2

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.
396 services159 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
115 services114 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%59 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims24 services$13.88 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
3 suppliers27 claims27 services$61.96 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 4

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

Hospitalist
18220 STATE HIGHWAY 249 STE 1360
HOUSTON, TX 77070
Anesthesiology
18220 STATE HIGHWAY 249 STE 1360
HOUSTON, TX 77070
Nurse Anesthetist, Certified Registered
18220 STATE HIGHWAY 249 STE 1360
HOUSTON, TX 77070
Hospitalist
18220 STATE HIGHWAY 249 STE 1360
HOUSTON, TX 77070

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 Rajeev Ramadugu's NPI number?

The NPI number for Rajeev Ramadugu is 1235243379. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Rajeev Ramadugu located?

Rajeev Ramadugu practices at 18220 State Highway 249 Ste 1360, Houston, TX 77070. The listed phone number is (281) 737-0587.

What is Rajeev Ramadugu's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Rajeev Ramadugu enrolled in Medicare?

Yes. Rajeev Ramadugu 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 Rajeev Ramadugu accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Rajeev Ramadugu 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 Rajeev Ramadugu affiliated with any hospitals?

According to CMS data, Rajeev Ramadugu is affiliated with Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Rajeev Ramadugu was last updated on March 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.