1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Internal Medicine
  6. NPI Profile

HELINA TEMESGEN WAKWAYA M.D.
NPI 1346536810
Internal Medicine - Critical Care Medicine in Houston, TX

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
6720 BERTNER AVE, HOUSTON, TX 77030(713) 798-1000 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2025, Nov 9, 2021 (2 updates tracked since 2021).

About Helina Temesgen Wakwaya M.d. NPPES

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

HELINA TEMESGEN WAKWAYA M.D. (NPI 1346536810) is an individual critical care medicine provider in Houston, Texas, licensed in Texas (Q4706) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2011).

NPPES Registry Identity

NPI1346536810
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameHELINA TEMESGEN WAKWAYACredential: M.D.
Location Address6720 BERTNER AVEHouston, TX 77030-2604
Mailing Address7200 Cambridge StHouston, TX 77030-4202 · (713) 798-1000
Phone(713) 798-1000
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2011
Enumeration DateJune 23, 2011
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1346536810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in TX · Q4706
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125:060378 (IL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License Q4706 (TX)
6720 BERTNER AVE, Houston, TX 77030
Open in Google Maps ↗

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

Helina Temesgen Wakwaya 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 ID1658597208
PECOS Enrollment IDI20180814000493
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
87 services46 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.
49 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

St Luke's Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670053
Location1317 Lake Pointe ParkwaySugar Land, TX 77478 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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.

DR. ARCHANA VARGHEESE RAGHAVAN M.D.
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (832) 355-2666
NEAL SAVJANI M.D.
Radiology (Vascular & Interventional Radiology)
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (713) 798-1000
DR. BRIAN S CHINAI DO
Internal Medicine (Critical Care Medicine)
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (832) 355-2666
MIR TAJAMMUL HUSSAIN MD
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (832) 355-2666
DR. ALIREZA PARHIZGAR M.D.
Internal Medicine
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (713) 798-2222
NEKIA MARIE STEWART CRNA
Nurse Anesthetist, Certified Registered
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (832) 355-2666
CAITLYN MARIE KOHAKE
Anesthesiologist Assistant
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (823) 355-2666
XOCHITL B. SANCHEZ M.D.
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (713) 798-1750

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 Helina Wakwaya's NPI number?

The NPI number for Helina Wakwaya is 1346536810. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Helina Wakwaya located?

Helina Wakwaya practices at 6720 Bertner Ave, Houston, TX 77030. The listed phone number is (713) 798-1000.

What is Helina Wakwaya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Helina Wakwaya enrolled in Medicare?

Yes. Helina Wakwaya 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 Helina Wakwaya accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Helina Wakwaya 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 Helina Wakwaya affiliated with any hospitals?

According to CMS data, Helina Wakwaya is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and St Luke's Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Helina Wakwaya was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.