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

Q: 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.

Q: What is Ravi Botla's specialty?

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

Q: 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.

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: August 02, 2026.

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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

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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., Molina Healthcare.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. 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.

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

Quality

68.55

Promoting Interoperability

100

Improvement Activities

Cost

64.36

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.

What insurance does Ravi Botla accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare 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.