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VENKATESH S. NAYAK M.D.
NPI 1467471078
Hospitalist in Plano, TX

Active since July 18, 2006PECOS Enrolled
1630 COIT RD STE 100, PLANO, TX 75075(972) 867-9599 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Venkatesh S. Nayak M.d. NPPES

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

VENKATESH S. NAYAK M.D. (NPI 1467471078) is an individual hospitalist provider in Plano, Texas, licensed in Texas (L6242) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467471078
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameVENKATESH S. NAYAKCredential: M.D.
Location Address1630 COIT RD STE 100Plano, TX 75075-6164
Mailing Address1630 Coit Rd Ste 100Plano, TX 75075-6164
Phone(972) 867-9599
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1467471078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · L6242
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License L6242 (TX)
1630 COIT RD STE 100, Plano, TX 75075
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Other Identifiers 1

Medicaid160353203TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Venkatesh S. Nayak M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Venkatesh Nayak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Questcare Hospitalists PLLC
7.7 mi
Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
NPI 1265441620 (954) 939-5000
Questcare Matrix, PLLC
11 mi
Emergency Medicine
8300 ELDORADO PKWY
Mckinney, TX 75070
  • Reassigned Medicare billing, Texas enrollment
  • 76 clinicians in this Medicare group
NPI 1740605492 (954) 939-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75075 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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…
77%437 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 2

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

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
2 suppliers17 claims17 services$60.00 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$28.25 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 Venkatesh Nayak's NPI number?

The NPI number for Venkatesh Nayak is 1467471078. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Venkatesh Nayak located?

Venkatesh Nayak practices at 1630 Coit Rd Ste 100, Plano, TX 75075. The listed phone number is (972) 867-9599.

What is Venkatesh Nayak's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Venkatesh Nayak enrolled in Medicare?

Yes. Venkatesh Nayak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Venkatesh Nayak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Venkatesh Nayak reassigns Medicare benefits to 2 organizations: Questcare Hospitalists PLLC (Dallas, TX) and Questcare Matrix, PLLC (Mckinney, 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 Venkatesh Nayak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Venkatesh Nayak accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Venkatesh Nayak 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.

When was this NPI record last updated?

The NPPES record for Venkatesh Nayak was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.