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DR. RAVI BOTLA M.D.
NPI 1366540544
Internal Medicine - Gastroenterology in San Antonio, TX

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
621 CAMDEN STREET, SUITE 202, SAN ANTONIO, TX 78215(210) 253-3422(210) 227-9833 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ravi Botla M.d. NPPES

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

DR. RAVI BOTLA M.D. (NPI 1366540544) is an individual gastroenterology provider in San Antonio, Texas, licensed in Texas (J7912) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1366540544
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RAVI BOTLACredential: M.D.
Location Address621 CAMDEN STREET, SUITE 202San Antonio, TX 78215-1639
Mailing AddressPo Box 75235Dallas, TX 75235-0629 · (214) 424-2200 · Fax (214) 231-2159
Phone(210) 253-3422
Fax(210) 227-9833
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 22, 2017
✔ NPI 1366540544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · J7912
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
621 CAMDEN STREET, San Antonio, TX 78215
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified83450KTX
Medicare UPINF70578TX
Other930072561TX · Medicare - Railroad
Other87500STX · Bc/bs
Medicaid136549604TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ravi Botla 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 ID6406740414
PECOS Enrollment IDI20240621002821
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 Ravi Botla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Digestive Disease Consultants, PLLC
186 mi
Gastroenterology
4100 S SHEPHERD DR
Houston, TX 77098
  • Reassigned Medicare billing, Texas enrollment
  • 575 clinicians in this Medicare group
NPI 1013429968 (832) 255-5681
Dignity Health Medical Foundation
1,150 mi
Multi-Specialty
401 E HIGHLAND AVE STE 251
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 1,191 clinicians in this Medicare group
NPI 1053653873 (909) 882-4605

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

Areas of Expertise CMS Part B claims 8

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.

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.
50 services49 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.
38 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services29 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
26 services26 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78215 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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Other Providers at the Same Location NPPES 4

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

DR. HECTOR D. ALLENDE M.D.
Internal Medicine (Gastroenterology)
621 CAMDEN STREET
SAN ANTONIO, TX 78215
Bexar County (210) 253-3422
DR. KOMARANAHALLI P. GANESHAPPA M.D.
Internal Medicine (Gastroenterology)
621 CAMDEN STREET
SAN ANTONIO, TX 78215
Bexar County (210) 253-3422
DR. RAVI L. GANESHAPPA M.D.
Internal Medicine (Gastroenterology)
621 CAMDEN STREET
SAN ANTONIO, TX 78215
Bexar County (210) 253-3422
JAN CARLOS PRAZAK MD
Internal Medicine (Gastroenterology)
621 CAMDEN STREET, SUITE 202
SAN ANTONIO, TX 78215
Bexar County (210) 253-3422

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 Botla's NPI number?

The NPI number for Ravi Botla is 1366540544. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Ravi Botla located?

Ravi Botla practices at 621 Camden Street Suite 202, San Antonio, TX 78215. The listed phone number is (210) 253-3422.

What is Ravi Botla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ravi Botla enrolled in Medicare?

Yes. Ravi Botla 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.

Which organizations bill Medicare for Ravi Botla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ravi Botla reassigns Medicare benefits to 2 organizations: Texas Digestive Disease Consultants, PLLC (Houston, TX) and Dignity Health Medical Foundation (San Bernardino, CA). 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 Ravi Botla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ravi Botla accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Ravi Botla 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 Ravi Botla was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.