DR. RAVINDRA REDDY GADAM M.D
NPI 1356509004
Family Medicine in New Braunfels, TX

Q: What is Ravindra Gadam's NPI number?

The NPI number for Ravindra Gadam is 1356509004. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Q: What is Ravindra Gadam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ravindra Gadam was last updated on October 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 29, 2008PECOS EnrolledAccepts Medicare Assignment

790 GENERATIONS DR STE 205, NEW BRAUNFELS, TX 78130(850) 320-2231 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2024, Dec 24, 2015 (2 updates tracked since 2015).

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About Dr. Ravindra Reddy Gadam M.d NPPES

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

DR. RAVINDRA REDDY GADAM M.D (NPI 1356509004) is an individual family medicine provider in New Braunfels, Texas, licensed in Texas (P0384) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356509004

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RAVINDRA REDDY GADAMCredential: M.D

Location Address790 GENERATIONS DR STE 205New Braunfels, TX 78130-0087

Mailing Address9405 Kyles Stake RdAustin, TX 78717-5554 · (850) 320-2231

Phone(850) 320-2231

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMay 29, 2008

Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration

NPPES CertifiedOctober 28, 2025

✔ NPI 1356509004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · P0384

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License P0384 (TX)

790 GENERATIONS DR STE 205, New Braunfels, TX 78130

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Secondary Practice Locations 2

Location 112221 N Mopac ExpyAustin, TX 78758-2401 · Phone (512) 901-4009 · Fax (512) 901-3992

Location 2801 N Bedell AveDel Rio, TX 78840-4112 · Phone (512) 730-3056 · Fax (888) 730-1925

Other Identifiers 1

Medicaid285711205TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan 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

Dr. Ravindra Reddy Gadam 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 ID2769668573

PECOS Enrollment IDI20111103000633

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 5

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.

272 services146 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.

249 services124 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.

88 services86 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

86 services82 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

23 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450058

Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County

Emergency services Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450272

Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County

Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450388

Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670055

Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78130 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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.

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…

87%206 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers28 claims28 services$15.19 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers36 claims36 services$63.58 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 6

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

DR. BENYAM G ALEMU M.D.

Internal Medicine