NEEHARIKA METTUPALLI M.BBS
NPI 1245657683
Internal Medicine in Pasadena, TX

Active since March 24, 2014PECOS EnrolledAccepts Medicare Assignment
4048 RED BLUFF RD, PASADENA, TX 77503(713) 477-7877 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2023, Jul 17, 2023, Jan 11, 2017 (3 updates tracked since 2017).

About Neeharika Mettupalli M.bbs NPPES

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

NEEHARIKA METTUPALLI M.BBS (NPI 1245657683) is an individual internal medicine provider in Pasadena, Texas, licensed in Texas (U5462) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1245657683
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNEEHARIKA METTUPALLICredential: M.BBS
Location Address4048 RED BLUFF RDPasadena, TX 77503-3606
Mailing Address1643 Nw 136th Ave Ste 100Sunrise, FL 33323-2857 · (954) 835-2841 · Fax (865) 560-7110
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 24, 2014
Last NPPES UpdateAugust 16, 20233 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1245657683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · U5462
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4048 RED BLUFF RD, Pasadena, TX 77503

Secondary Practice Locations 2

Location 1550 Gene Friend WaySan Francisco, CA 94158-2281 · Phone (408) 203-7216
Location 2601 Hamilton Ave, St. Francis Medical Center - Department of MedicineTrenton, NJ 08629 · Phone (609) 599-5061 · Fax (609) 599-6232

Accepted 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

Neeharika Mettupalli M.bbs 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 ID6608154844
PECOS Enrollment IDI20230816001300
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

4

Medicare enrollment records show Neeharika Mettupalli reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
5800 W BAKER RD
Baytown, TX 77520
  • Reassigned Medicare billing, Texas enrollment
  • 131 clinicians in this Medicare group
Internal Medicine
4645 SWEETWATER BLVD STE 200
Sugar Land, TX 77479
  • Reassigned Medicare billing, Texas enrollment
  • 53 clinicians in this Medicare group
Hospitalist
14131 MIDWAY RD, SUITE 620
Addison, TX 75001
  • Reassigned Medicare billing, Texas enrollment
  • 142 clinicians in this Medicare group
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group

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 3

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
581 services67 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
46 services19 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77503 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…
99%170 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

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers14 claims14 services$886.28 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.

Nurse Practitioner (Family)
4048 RED BLUFF RD
PASADENA, TX 77503
Physical Therapy Assistant
4048 RED BLUFF RD
PASADENA, TX 77503
Physical Medicine & Rehabilitation
4048 RED BLUFF RD
PASADENA, TX 77503
Occupational Therapist
4048 RED BLUFF RD
PASADENA, TX 77503

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 Neeharika Mettupalli's NPI number?

The NPI number for Neeharika Mettupalli is 1245657683. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Where is Neeharika Mettupalli located?

Neeharika Mettupalli practices at 4048 Red Bluff Rd, Pasadena, TX 77503. The listed phone number is (713) 477-7877.

What is Neeharika Mettupalli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Neeharika Mettupalli enrolled in Medicare?

Yes. Neeharika Mettupalli 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 Neeharika Mettupalli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neeharika Mettupalli reassigns Medicare benefits to 4 organizations: Cs Pacs 3 Southwest, LLC (Baytown, TX), Vanguard Inpatient Physicians, PLLC (Sugar Land, TX), Ipc Pac Healthcare Services Of Texas PLLC (Addison, TX) and Nv Pacs 2 LLC (Las Vegas, NV). 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 Neeharika Mettupalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neeharika Mettupalli accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Neeharika Mettupalli 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.

When was this NPI record last updated?

The NPPES record for Neeharika Mettupalli was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.