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KAPIL NATH VEERAVALLI M.B.B.S.
NPI 1235449133
Family Medicine in Jefferson Hills, PA

Active since October 14, 2010PECOS EnrolledAccepts Medicare Assignment
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025(412) 267-6810(412) 267-6817 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2020, Sep 12, 2019, Nov 9, 2016 (3 updates tracked since 2016).

About Kapil Nath Veeravalli M.b.b.s. NPPES

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

KAPIL NATH VEERAVALLI M.B.B.S. (NPI 1235449133) is an individual family medicine provider in Jefferson Hills, Pennsylvania, licensed in Pennsylvania (MD468498) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1235449133
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKAPIL NATH VEERAVALLICredential: M.B.B.S.
Location Address565 COAL VALLEY RDJefferson Hills, PA 15025-3703
Mailing Address565 Coal Valley RdJefferson Hills, PA 15025-3703 · (412) 267-6810 · Fax (412) 267-6817
Phone(412) 267-6810
Fax(412) 267-6817
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 14, 2010
Last NPPES UpdateOctober 7, 20203 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1235449133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD468498✔ Licensed in AL · 3207R
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
565 COAL VALLEY RD, Jefferson Hills, PA 15025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.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

Kapil Nath Veeravalli 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 ID2668616996
PECOS Enrollment IDI20220908001982
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

3

Medicare enrollment records show Kapil Veeravalli reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cogent Healthcare Of Texas, PA
1,064 mi
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
NPI 1992722953 (214) 345-7585
Sound Inpatient Physicians Of Texas I, Inc
1,067 mi
Hospitalist
3080 COLLEGE ST
Beaumont, TX 77701
  • Reassigned Medicare billing, Texas enrollment
  • 478 clinicians in this Medicare group
NPI 1457643223 (409) 212-5000
Hospitalist Medicine Physicians Of Texas, PLLC
1,120 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700

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 4

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 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.
201 services65 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.
114 services37 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.
45 services44 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.
42 services42 patients

Hospital Affiliations CMS Care Compare

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

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15025 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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…
100%518 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.

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.

ALYSSA L BERNSTEIN NP
Nurse Practitioner
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (860) 395-7848
ASHLEY WALBERT
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
JEFFERSON REGIONAL MEDICAL CENTER
Rehabilitation Unit
565 COAL VALLEY RD
CLAIRTON, PA 15025
Allegheny County (412) 469-5000
MRS. VICTORIA L RILEY CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
EMILY PAIGE MCDOWELL CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
SANGEETA LAKSHMI KOMERALLY M.D
Hospitalist
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 267-6810
ADAM A BARONE CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
MICHAEL BRADLEY SMALL DO
Hospitalist
565 COAL VALLEY RD
CLAIRTON, PA 15025
Allegheny County (412) 267-6810

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 Kapil Veeravalli's NPI number?

The NPI number for Kapil Veeravalli is 1235449133. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Where is Kapil Veeravalli located?

Kapil Veeravalli practices at 565 Coal Valley Rd, Jefferson Hills, PA 15025. The listed phone number is (412) 267-6810.

What is Kapil Veeravalli's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kapil Veeravalli enrolled in Medicare?

Yes. Kapil Veeravalli 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 Kapil Veeravalli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kapil Veeravalli reassigns Medicare benefits to 3 organizations: Cogent Healthcare Of Texas, PA (Dallas, TX), Sound Inpatient Physicians Of Texas I, Inc (Beaumont, TX) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). 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 Kapil Veeravalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kapil Veeravalli accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Kapil Veeravalli 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 Kapil Veeravalli affiliated with any hospitals?

According to CMS data, Kapil Veeravalli is affiliated with Jps Health Network.

When was this NPI record last updated?

The NPPES record for Kapil Veeravalli was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.