1. Home
  2. Directory
  3. Missouri
  4. North Kansas City
  5. Internal Medicine
  6. NPI Profile

AVIN POTHULOORI M.D.
NPI 1245523141
Internal Medicine - Endocrinology, Diabetes & Metabolism in North Kansas City, MO

Active since May 25, 2011PECOS EnrolledAccepts Medicare Assignment
2790 CLAY EDWARDS DR STE 1250, C/O HELLMAN & ROSEN ENDOCRINE, NORTH KANSAS CITY, MO 64116(816) 421-3700(816) 421-1654 Get Directions Write a Review

NPPES record last updated: May 22, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 22, 2017, Feb 24, 2017, Oct 18, 2016 (3 updates tracked since 2016).

About Avin Pothuloori M.d. NPPES

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

AVIN POTHULOORI M.D. (NPI 1245523141) is an individual endocrinology, diabetes & metabolism provider in North Kansas City, Missouri, licensed in Missouri (2016030319) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Chi Health Mercy Council Bluffs, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1245523141
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameAVIN POTHULOORICredential: M.D.
Location Address2790 CLAY EDWARDS DR STE 1250, C/O HELLMAN & ROSEN ENDOCRINENorth Kansas City, MO 64116-3260
Mailing Address2790 Clay Edwards Dr Ste 1250, C/o Hellman & Rosen EndocrineNorth Kansas City, MO 64116-3260 · (816) 421-3700 · Fax (816) 421-1654
Phone(816) 421-3700
Fax(816) 421-1654
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 25, 2011
Last NPPES UpdateMay 22, 20173 updates tracked since enumeration
✔ NPI 1245523141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MO · 2016030319
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2790 CLAY EDWARDS DR STE 1250, North Kansas City, MO 64116
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN402000026MO
Medicare PINP01775520
OtherP01775520Railroad Medicare

Accepted Insurance

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

Avin Pothuloori 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 ID345471249
PECOS Enrollment IDI20210816001716
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 7

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.
183 services88 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
133 services62 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
59 services27 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.
46 services35 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.
26 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Chi Health Mercy Council Bluffs

Acute Care Hospitals · Council Bluffs, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160028
Location800 Mercy DriveCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Chi Health Immanuel

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280081
Location6901 North 72nd StOmaha, NE 68122 · Douglas County
Emergency services Birthing friendly

Chi Health Midlands

Acute Care Hospitals · Papillion, NE
OwnershipVoluntary non-profit - Church
CMS Certification Number280105
Location11111 South 84th StPapillion, NE 68046 · Sarpy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64116 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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

Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 47% · 116 patients
Patients 4MonthsOfStart: 88% · 98 patients
62%104 patients
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.
94%2,483 patients4/55-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…
3%180 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
83%612 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
5%963 patients1/55-star benchmark: 97%
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…
87%842 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
68%326 patients4/55-star benchmark: 88%
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…
77%963 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
40%963 patients2/55-star benchmark: 89%
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.
25%963 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers25 claims60 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers14 claims17 services$1.03 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers21 claims21 services$308.38 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
2 suppliers13 claims300 services$6.36 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
14 suppliers169 claims170 services$186.82 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
6 suppliers14 claims14 services$204.58 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 9

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

RYANE MERIDYTH RIDDLE APRN
Nurse Practitioner (Adult Health)
2790 CLAY EDWARDS DR STE 1250
NORTH KANSAS CITY, MO 64116
Clay County (816) 421-3700
DUYEN THI MY NGUYEN NP-C
Nurse Practitioner (Adult Health)
2790 CLAY EDWARDS DR STE 1250
NORTH KANSAS CITY, MO 64116
Clay County (816) 421-3700
DEBRA E MCCONVILLE ARNP, BC, CDE
Nurse Practitioner (Adult Health)
2790 CLAY EDWARDS DR STE 1250, C/O HELLMAN & ROSEN ENDOCRINE
NORTH KANSAS CITY, MO 64116
Clay County (816) 421-3700
DR. PHILLIP O PEGG JR. PH.D
Psychologist (Clinical)
2790 CLAY EDWARDS DR STE 1250, C/O HELLMAN & ROSEN ENDOCRINE
NORTH KANSAS CITY, MO 64116
Clay County (816) 421-3700
KELLY SCHROCK RD
Dietitian, Registered
2790 CLAY EDWARDS DR STE 1250, C/O HELLMAN & ROSEN ENDOCRINE
NORTH KANSAS CITY, MO 64116
Clay County (816) 421-3700
KEVAN STOUT PA-C
Physician Assistant (Medical)
2790 CLAY EDWARDS DR STE 1250
NORTH KANSAS CITY, MO 64116
Clay County (816) 421-3700
RANE MEHTA DNP-FNP
Nurse Practitioner (Family)
2790 CLAY EDWARDS DR STE 1250
KANSAS CITY, MO 64116
Clay County (816) 421-3700
MERITAS HEALTH CORPORATION
Internal Medicine (Pulmonary Disease)
2790 CLAY EDWARDS DR STE 1250
NORTH KANSAS CITY, MO 64116
Clay County (816) 691-5098

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 Avin Pothuloori's NPI number?

The NPI number for Avin Pothuloori is 1245523141. It was assigned to this individual provider in the NPPES registry on May 25, 2011.

Where is Avin Pothuloori located?

Avin Pothuloori practices at 2790 Clay Edwards Dr Ste 1250 C/O Hellman & Rosen Endocrine, North Kansas City, MO 64116. The listed phone number is (816) 421-3700.

What is Avin Pothuloori's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Avin Pothuloori enrolled in Medicare?

Yes. Avin Pothuloori 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 Avin Pothuloori accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Avin Pothuloori 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 Avin Pothuloori affiliated with any hospitals?

According to CMS data, Avin Pothuloori is affiliated with Chi Health Mercy Council Bluffs, Chi Health Bergan Mercy, Chi Health Immanuel and Chi Health Midlands.

When was this NPI record last updated?

The NPPES record for Avin Pothuloori was last updated on May 22, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.