APURVA OMKAR BADHEKA M.D.
NPI 1457593303
Internal Medicine - Interventional Cardiology in Denison, TX
About Apurva Omkar Badheka M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
APURVA OMKAR BADHEKA M.D. (NPI 1457593303) is an individual interventional cardiology provider in Denison, Texas, licensed in Texas (W1245) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Alliancehealth Durant, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 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
Apurva Omkar Badheka 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
3Medicare enrollment records show Apurva Badheka reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denison, TX 75020
- Reassigned Medicare billing, Oklahoma and Texas enrollments
- 6 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 911 clinicians in this Medicare group
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 1,285 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 48
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Alliancehealth Durant
Acute Care Hospitals · Durant, OKTexoma Medical Center
Acute Care Hospitals · Denison, TXWilson N Jones Regional Medical Center
Acute Care Hospitals · Sherman, TXTmc- Bonham Hospital
Critical Access Hospitals · Bonham, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Apurva Badheka's NPI number?
The NPI number for Apurva Badheka is 1457593303. It was assigned to this individual provider in the NPPES registry on March 24, 2009.
Where is Apurva Badheka located?
Apurva Badheka practices at 5026 Pool Rd, Denison, TX 75020. The listed phone number is (903) 465-3624.
What is Apurva Badheka's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Apurva Badheka enrolled in Medicare?
Yes. Apurva Badheka 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 Apurva Badheka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Apurva Badheka reassigns Medicare benefits to 3 organizations: Texomacare Specialty Physicians (Denison, TX), The Polyclinic (Seattle, WA) and Optum Care Washington PLLC (Everett, WA). 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 Apurva Badheka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Apurva Badheka 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 5 other insurers list Apurva Badheka 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 Apurva Badheka affiliated with any hospitals?
According to CMS data, Apurva Badheka is affiliated with Alliancehealth Durant, Texoma Medical Center, Wilson N Jones Regional Medical Center and Tmc- Bonham Hospital.
When was this NPI record last updated?
The NPPES record for Apurva Badheka was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.