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RAKESH DONTHULA MD
NPI 1346602653
Pediatrics - Pediatric Cardiology in Amarillo, TX

Active since March 25, 2016PECOS Enrolled
100/100
CMS Quality Rating
1400 S COULTER ST STE 1400, AMARILLO, TX 79106(806) 414-9180 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2022, Jan 25, 2022, Mar 25, 2016 (3 updates tracked since 2016).

About Rakesh Donthula Md NPPES

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

RAKESH DONTHULA MD (NPI 1346602653) is an individual pediatric cardiology provider in Amarillo, Texas, licensed in Texas (T4910) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346602653
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameRAKESH DONTHULACredential: MD
Location Address1400 S COULTER ST STE 1400Amarillo, TX 79106-1786
Mailing Address1400 S Coulter St Ste 1400Amarillo, TX 79106-1786 · (806) 414-9180
Phone(806) 414-9180
Sole ProprietorNo
Enumeration DateMarch 25, 2016
Last NPPES UpdateJuly 11, 20223 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
✔ NPI 1346602653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in TX · T4910
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1400 S COULTER ST STE 1400, Amarillo, TX 79106
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16410 Fannin St Ste 425Houston, TX 77030-3005 · Phone (832) 325-6516 · Fax (713) 512-2222
Location 27901 Broadway, Elmhurst Hospital CenterElmhurst, NY 11373-1329 · Phone (718) 334-4000

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rakesh Donthula Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Rakesh Donthula reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Tech University Health Sciences Center Amarillo
0.1 mi
Family Medicine
1400 S COULTER ST
Amarillo, TX 79106
  • Reassigned Medicare billing, Texas enrollment
  • 109 clinicians in this Medicare group
NPI 1013942150 (806) 414-9559
Dallam-Hartley Counties Hospital District
68 mi
Rural Health
320 E TEXAS BLVD
Dalhart, TX 79022
  • Reassigned Medicare billing, Texas enrollment
  • 57 clinicians in this Medicare group
NPI 1467799262 (806) 249-8324

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

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 Rakesh Donthula's NPI number?

The NPI number for Rakesh Donthula is 1346602653. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Rakesh Donthula located?

Rakesh Donthula practices at 1400 S Coulter St Ste 1400, Amarillo, TX 79106. The listed phone number is (806) 414-9180.

What is Rakesh Donthula's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Rakesh Donthula enrolled in Medicare?

Yes. Rakesh Donthula is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rakesh Donthula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rakesh Donthula reassigns Medicare benefits to 2 organizations: Texas Tech University Health Sciences Center Amarillo (Amarillo, TX) and Dallam-Hartley Counties Hospital District (Dalhart, TX). 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 Rakesh Donthula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rakesh Donthula 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 4 other insurers list Rakesh Donthula 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 Rakesh Donthula was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.