1. Home
  2. Directory
  3. Maryland
  4. Rockville
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, May 19, 2021, May 12, 2021 (3 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 UpdateSeptember 29, 20263 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
Open in Google Maps ↗

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.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. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Usha Yenigalla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Medicine Physicians Of Virginia LLC
54 mi
Internal Medicine
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 371 clinicians in this Medicare group
NPI 1770756991 (540) 536-4334
Usacs Integrated Acute Care Services Of Maryland, LLC
81 mi
Internal Medicine
106 BOW ST
Elkton, MD 21921
  • Reassigned Medicare billing, District of Columbia enrollment
  • 347 clinicians in this Medicare group
NPI 1922598929 (330) 493-4443
Sound Inpatient Physicians Of Texas I, Inc
1,146 mi
Hospitalist
3080 COLLEGE ST
Beaumont, TX 77701
  • Reassigned Medicare billing, Texas enrollment
  • 478 clinicians in this Medicare group
NPI 1457643223 (409) 212-5000

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.

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.

Which organizations bill Medicare for Usha Yenigalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Usha Yenigalla reassigns Medicare benefits to 3 organizations: Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA), Usacs Integrated Acute Care Services Of Maryland, LLC (Elkton, MD) and Sound Inpatient Physicians Of Texas I, Inc (Beaumont, 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 Usha Yenigalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Usha Yenigalla accept?

Health plans from Blue Cross and Blue Shield of Texas 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 September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.