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DR. PADMAJA DONIPARTHI M.D.
NPI 1437132198
Pain Medicine - Interventional Pain Medicine in Rowlett, TX

Active since November 26, 2005PECOS EnrolledAccepts Medicare Assignment
69.75/100
CMS Quality Rating
9400 LAKEVIEW PKWY STE 124, ROWLETT, TX 75088(972) 792-5700 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 13, 2025, Mar 10, 2023, Oct 24, 2022 and 1 more (4 updates tracked since 2022).

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 is a graduate of Medical College Of Wisconsin (1992).

NPPES Registry Identity

NPI1437132198
Entity TypeIndividualFemale
Primary Taxonomy208VP0014X
Provider Legal NameDR. PADMAJA DONIPARTHICredential: M.D.
Location Address9400 LAKEVIEW PKWY STE 124Rowlett, TX 75088-4401
Mailing Address9330 Lbj Fwy Ste 800Dallas, TX 75243-4310 · (972) 792-5700 · Fax (214) 506-1170
Phone(972) 792-5700
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 1992
Enumeration DateNovember 26, 2005
Last NPPES UpdateApril 17, 20254 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1437132198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in TX · T5872
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X · License T5872 (TX)
9400 LAKEVIEW PKWY STE 124, Rowlett, TX 75088
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Other Names 1

Former Name (1)Padmaja Budarapu

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, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8820984925
PECOS Enrollment IDI20220928002948
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

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.
24 services16 patients

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, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Physician 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.

New Patient
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

69.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.27
Promoting Interoperability99
Improvement Activities40
Cost31.74

Other Providers at the Same Location NPPES

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

PADMAJA DONIPARTHI, MD, SC
Pain Medicine (Interventional Pain Medicine)
9400 LAKEVIEW PKWY STE 124
ROWLETT, TX 75088
Dallas County (469) 814-5960

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.

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 3 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 16 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.