RAMAKRISHNA THOKALA MD
NPI 1295969699
Internal Medicine - Nephrology in Midland, TX

Q: What is Ramakrishna Thokala's NPI number?

The NPI number for Ramakrishna Thokala is 1295969699. It was assigned to this individual provider in the NPPES registry on May 13, 2009.

Q: What is Ramakrishna Thokala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since May 13, 2009PECOS EnrolledAccepts Medicare Assignment

74.83/100

CMS Quality Rating

3302 W GOLF COURSE RD STE 100, MIDLAND, TX 79703(432) 522-2304(432) 522-2307 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2024, Mar 26, 2021 (2 updates tracked since 2021).

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About Ramakrishna Thokala Md NPPES

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

RAMAKRISHNA THOKALA MD (NPI 1295969699) is an individual nephrology provider in Midland, Texas, licensed in Texas (R6690) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Medical Center Hospital, and maintains a secondary practice location in Odessa.

NPPES Registry Identity

NPI1295969699

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameRAMAKRISHNA THOKALACredential: MD

Location Address3302 W GOLF COURSE RD STE 100Midland, TX 79703-5110

Mailing Address3302 W Golf Course Rd Ste 100Midland, TX 79703-5110 · (432) 522-2304 · Fax (432) 522-2307

Phone(432) 522-2304

Fax(432) 522-2307

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 13, 2009

Last NPPES UpdateApril 30, 20242 updates tracked since enumeration

NPPES CertifiedApril 30, 2024

✔ NPI 1295969699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · R6690

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2015025783 (MO)

3302 W GOLF COURSE RD STE 100, Midland, TX 79703

Open in Google Maps ↗

Secondary Practice Location 1

Location 16005 Eastridge Rd Ste 160Odessa, TX 79762-5027 · Phone (432) 522-2304 · Fax (432) 522-2307

Other Identifiers 3

Medicaid1295969699MO

Medicaid384437501TX

Medicaid1295969699TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Ramakrishna Thokala 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 ID8426292129

PECOS Enrollment IDI20180420000286

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 10

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.

369 services116 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

288 services108 patients

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.

284 services129 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.

220 services90 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.

127 services103 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

34 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Medical Center Hospital

Acute Care Hospitals · Odessa, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450132

Location500 W 4th StreetOdessa, TX 79761 · Ector County

Emergency services Birthing friendly

Midland Memorial Hospital

Acute Care Hospitals · Midland, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450133

Location400 Rosalind Redfern Grover ParkwayMidland, TX 79701 · Midland County

Emergency services Birthing friendly

Permian Regional Medical Center Andrews County Ho

Acute Care Hospitals · Andrews, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450144

Location720 Hospital DriveAndrews, TX 79714 · Andrews County

Emergency services Birthing friendly

Odessa Regional Medical Center

Acute Care Hospitals · Odessa, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450661

Location520 E 6th StreetOdessa, TX 79761 · Ector County

Emergency services Birthing friendly

Martin County Hospital District

Critical Access Hospitals · Stanton, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451333

Location600 E Interstate 20 PO Box 640Stanton, TX 79782 · Martin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79703 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

74.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

47.23

Promoting Interoperability

100

Improvement Activities

Cost

43.19

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.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

6 suppliers41 claims3,990 services$0.30 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers35 claims5,460 services$0.18 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers13 claims840 services$0.92 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

1 supplier13 claims13 services$215.52 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

5 suppliers45 claims45 services$17.69 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

6 suppliers44 claims46 services$11.65 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 5

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

MRS. JENNIFER DANELLE NAVAREZ FNP

Nurse Practitioner