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ABHISHEK CHALLA
NPI 1477968659
Internal Medicine - Gastroenterology in San Antonio, TX

Active since June 25, 2014PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
11212 STATE HIGHWAY 151 MEDICAL PLAZA, 1, SUITE 250, SAN ANTONIO, TX 78251(210) 614-1234 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abhishek Challa NPPES

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

ABHISHEK CHALLA (NPI 1477968659) is an individual gastroenterology provider in San Antonio, Texas, licensed in Kansas (94-09778) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1477968659
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameABHISHEK CHALLA
Location Address11212 STATE HIGHWAY 151 MEDICAL PLAZA, 1, SUITE 250San Antonio, TX 78251-4507
Mailing AddressPo Box 206239Dallas, TX 75320-6239 · (210) 614-1234
Phone(210) 614-1234
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 25, 2014
Last NPPES UpdateJune 3, 2022
NPPES CertifiedMay 23, 2022
✔ NPI 1477968659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in KS · 94-09778
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedTransplant SurgeryTaxonomy 204F00000X · License 7322 (NE)
11212 STATE HIGHWAY 151 MEDICAL PLAZA, 1, San Antonio, TX 78251
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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

Abhishek Challa 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 ID1658621990
PECOS Enrollment IDI20221013002509
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 7

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
106 services106 patients
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.
81 services58 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
69 services67 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
61 services57 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
21 services20 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450237
Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

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 Abhishek Challa's NPI number?

The NPI number for Abhishek Challa is 1477968659. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Abhishek Challa located?

Abhishek Challa practices at 11212 State Highway 151 Medical Plaza, 1 Suite 250, San Antonio, TX 78251. The listed phone number is (210) 614-1234.

What is Abhishek Challa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Abhishek Challa enrolled in Medicare?

Yes. Abhishek Challa 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 Abhishek Challa 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 6 other insurers list Abhishek Challa 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 Abhishek Challa affiliated with any hospitals?

According to CMS data, Abhishek Challa is affiliated with Christus Santa Rosa Medical Center and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Abhishek Challa was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.