DR. PADMAJA DONIPARTHI M.D.
NPI 1437132198
Pain Medicine - Interventional Pain Medicine in Rowlett, TX
About Dr. Padmaja Doniparthi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PADMAJA DONIPARTHI M.D. (NPI 1437132198) is an individual interventional pain medicine provider in Rowlett, Texas, licensed in Texas (T5872) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and maintains a secondary practice location in Grapevine.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted 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. Padmaja Doniparthi 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.
Medicare Billing Reassignments
2Medicare enrollment records show Padmaja Doniparthi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rowlett, TX 75088
- Reassigned Medicare billing, Texas enrollment
Richardson, TX 75080
- Reassigned Medicare billing, Texas enrollment
- 23 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor Scott & White Medical Center Grapevine
Acute Care Hospitals · Grapevine, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75088 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROWLETT, TX 75088
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 Padmaja Doniparthi's NPI number?
The NPI number for Padmaja Doniparthi is 1437132198. It was assigned to this individual provider in the NPPES registry on November 26, 2005. The provider is also known as Padmaja Budarapu.
Where is Padmaja Doniparthi located?
Padmaja Doniparthi practices at 9400 Lakeview Pkwy Ste 124, Rowlett, TX 75088. The listed phone number is (972) 792-5700.
What is Padmaja Doniparthi's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Padmaja Doniparthi enrolled in Medicare?
Yes. Padmaja Doniparthi 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 Padmaja Doniparthi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Padmaja Doniparthi reassigns Medicare benefits to 2 organizations: Padmaja Doniparthi, MD, Sc (Rowlett, TX) and Premier Pain Centers PA (Richardson, 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 Padmaja Doniparthi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Padmaja Doniparthi 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 Padmaja Doniparthi 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 Padmaja Doniparthi affiliated with any hospitals?
According to CMS data, Padmaja Doniparthi is affiliated with Baylor Scott & White Medical Center Grapevine.
When was this NPI record last updated?
The NPPES record for Padmaja Doniparthi was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Padmaja Doniparthi, M.D. · NPI 1437132198
Interventional Pain Medicine physician in Rowlett, Texas. Individual provider, active in the CMS NPPES registry since November 26, 2005.
## Identity
- **NPI:** 1437132198 (Entity type: Individual)
- **Enumerated:** November 26, 2005
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **State license:** T5872 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9400 LAKEVIEW PKWY STE 124, Rowlett, TX 75088-4401
- **Phone:** (972) 792-5700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Padmaja Doniparthi, MD, Sc (NPI 1518787233, Rowlett, TX); Premier Pain Centers PA (NPI 1538656160, Richardson, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 1992
## Record status
- **NPPES last updated:** April 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1437132198) · Data from the CMS NPPES public registry.