RAVI K THIMMISETTY M.D
NPI 1326321449
Internal Medicine - Nephrology in Albuquerque, NM

Active since September 25, 2011PECOS EnrolledAccepts Medicare Assignment
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109(505) 998-7400(505) 998-7740 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2021, Dec 28, 2015 (2 updates tracked since 2015).

About Ravi K Thimmisetty M.d NPPES

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

RAVI K THIMMISETTY M.D (NPI 1326321449) is an individual nephrology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2021-0293) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1326321449
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRAVI K THIMMISETTYCredential: M.D
Location Address3821 MASTHEAD ST NEAlbuquerque, NM 87109-4679
Mailing Address3821 Masthead St NeAlbuquerque, NM 87109-4679 · (505) 998-7400 · Fax (505) 998-7740
Fax(505) 998-7740
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 25, 2011
Last NPPES UpdateJune 10, 20212 updates tracked since enumeration
NPPES CertifiedJune 10, 2021
NPI 1326321449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in NM · MD2021-0293 Licensed in MO · 2016038126
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 6626 (NE)
3821 MASTHEAD ST NE, Albuquerque, NM 87109

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

Ravi K Thimmisetty 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 ID9234431388
PECOS Enrollment IDI20210609003150
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 12

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.
173 services92 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.
115 services90 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.
101 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
100 services57 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.
81 services58 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.
68 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Plains Regional Medical Center

Acute Care Hospitals · Clovis, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320022
Location2100 N Martin Luther King, Jr, BlvdClovis, NM 88101 · Curry County
Emergency services Birthing friendly

Lovelace Westside Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipProprietary
CMS Certification Number320074
Location10501 Golf Course Road NWAlbuquerque, NM 87114 · Bernalillo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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 (Nephrology)
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Adult Health)
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Gerontology)
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Physician Assistant
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Physician Assistant
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Acute Care)
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Adult Health)
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109

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 Ravi Thimmisetty's NPI number?

The NPI number for Ravi Thimmisetty is 1326321449. It was assigned to this individual provider in the NPPES registry on September 25, 2011.

Where is Ravi Thimmisetty located?

Ravi Thimmisetty practices at 3821 Masthead St NE, Albuquerque, NM 87109. The listed phone number is (505) 998-7400.

What is Ravi Thimmisetty's specialty?

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

Is Ravi Thimmisetty enrolled in Medicare?

Yes. Ravi Thimmisetty 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 Ravi Thimmisetty accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Texas list Ravi Thimmisetty 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 Ravi Thimmisetty affiliated with any hospitals?

According to CMS data, Ravi Thimmisetty is affiliated with Lovelace Medical Center, Lovelace Women's Hospital, Presbyterian Hospital, Plains Regional Medical Center and Lovelace Westside Hospital.

When was this NPI record last updated?

The NPPES record for Ravi Thimmisetty was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.