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DR. USHA KIRAN YENIGALLA MD
NPI 1457518268
Internal Medicine in Rockville, MD

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
SHADY GROVE ADVENTIST MEDICAL CENTER, 9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850(630) 926-8300 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2021, May 12, 2021 (2 updates tracked since 2021).

About Dr. Usha Kiran Yenigalla Md NPPES

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

DR. USHA KIRAN YENIGALLA MD (NPI 1457518268) is an individual internal medicine provider in Rockville, Maryland, licensed in Maryland (71323) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare Shady Grove Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1457518268
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. USHA KIRAN YENIGALLACredential: MD
Location AddressSHADY GROVE ADVENTIST MEDICAL CENTER, 9901 MEDICAL CENTER DRRockville, MD 20850-4729
Mailing Address12221 Merit Dr., Ste 1500Dallas, TX 75251-2202 · (214) 217-1991 · Fax (214) 217-1912
Phone(630) 926-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 20, 2008
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1457518268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · 71323
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 71323 (MD)
SHADY GROVE ADVENTIST MEDICAL CENTER, Rockville, MD 20850
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Other Names 1

Former Name (1)Dr. Usha Kiran Yenigalla Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, 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. Usha Kiran Yenigalla Md 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 ID7315129251
PECOS Enrollment IDI20110318000203
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.

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.
653 services264 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.
590 services207 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.
321 services308 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
34 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services15 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210057
Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20850 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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…
85%281 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 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers32 claims32 services$38.90 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier36 claims36 services$13.90 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
1 supplier37 claims37 services$65.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Usha Yenigalla's NPI number?

The NPI number for Usha Yenigalla is 1457518268. It was assigned to this individual provider in the NPPES registry on May 20, 2008. The provider is also known as Dr. Usha Kiran Yenigalla MD.

Where is Usha Yenigalla located?

Usha Yenigalla practices at Shady Grove Adventist Medical Center 9901 Medical Center Dr, Rockville, MD 20850. The listed phone number is (630) 926-8300.

What is Usha Yenigalla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Usha Yenigalla enrolled in Medicare?

Yes. Usha Yenigalla 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 Usha Yenigalla accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Usha Yenigalla 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 Usha Yenigalla affiliated with any hospitals?

According to CMS data, Usha Yenigalla is affiliated with Adventist Healthcare Shady Grove Medical Center.

When was this NPI record last updated?

The NPPES record for Usha Yenigalla was last updated on May 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.