PRAVEEN KONERU MD
NPI 1235335068
Hospitalist in Lakeway, TX

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
100 MEDICAL PKWY, LAKEWAY, TX 78738(512) 571-5000 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Praveen Koneru Md NPPES

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

PRAVEEN KONERU MD (NPI 1235335068) is an individual hospitalist provider in Lakeway, Texas, licensed in Texas (Q0090) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Round Rock, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1235335068
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePRAVEEN KONERUCredential: MD
Location Address100 MEDICAL PKWYLakeway, TX 78738-5621
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 27, 2007
Last NPPES UpdateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
NPI 1235335068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · Q0090
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 243861 (MA), Q0090 (TX), 50288 (WI)
100 MEDICAL PKWY, Lakeway, TX 78738

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

Praveen Koneru 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 ID446341812
PECOS Enrollment IDI20140806000215
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 5

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.
453 services195 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.
179 services169 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 services109 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.
106 services103 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78738 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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…
97%89 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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Infectious Disease)
100 MEDICAL PKWY
LAKEWAY, TX 78738
Emergency Medicine
100 MEDICAL PKWY
LAKEWAY, TX 78738
Physician Assistant
100 MEDICAL PKWY
LAKEWAY, TX 78738
Anesthesiology (Pain Medicine)
100 MEDICAL PKWY
LAKEWAY, TX 78738
Anesthesiology
100 MEDICAL PKWY
LAKEWAY, TX 78738
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
100 MEDICAL PKWY
LAKEWAY, TX 78738
Radiology (Diagnostic Radiology)
100 MEDICAL PKWY
LAKEWAY, TX 78738
Hospitalist
100 MEDICAL PKWY
LAKEWAY, TX 78738

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 Praveen Koneru's NPI number?

The NPI number for Praveen Koneru is 1235335068. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Praveen Koneru located?

Praveen Koneru practices at 100 Medical Pkwy, Lakeway, TX 78738. The listed phone number is (512) 571-5000.

What is Praveen Koneru's specialty?

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

Is Praveen Koneru enrolled in Medicare?

Yes. Praveen Koneru 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 Praveen Koneru accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Praveen Koneru 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 Praveen Koneru affiliated with any hospitals?

According to CMS data, Praveen Koneru is affiliated with Baylor Scott & White Medical Center - Round Rock and Baylor Scott & White Medical Center - Marble Falls.

When was this NPI record last updated?

The NPPES record for Praveen Koneru was last updated on January 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.