AVINASH RAVIPATI MD
NPI 1528444379
Internal Medicine - Endocrinology, Diabetes & Metabolism in Round Rock, TX

Active since August 04, 2015PECOS EnrolledAccepts Medicare Assignment
3950 N A W GRIMES BLVD STE N202, ROUND ROCK, TX 78665(877) 800-5722 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 26, 2026, Sep 19, 2024, Sep 14, 2020 and 1 more (4 updates tracked since 2018).

About Avinash Ravipati Md NPPES

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

AVINASH RAVIPATI MD (NPI 1528444379) is an individual endocrinology, diabetes & metabolism provider in Round Rock, Texas, licensed in Texas (W1216) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1528444379
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameAVINASH RAVIPATICredential: MD
Location Address3950 N A W GRIMES BLVD STE N202Round Rock, TX 78665-3540
Mailing Address2423 Williams Dr Ste 107Georgetown, TX 78628-3269
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 4, 2015
Last NPPES UpdateMarch 26, 20264 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1528444379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in TX · W1216✔ Licensed in DE · C1-0023832✔ Licensed in OK · 33839
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3950 N A W GRIMES BLVD STE N202, Round Rock, TX 78665

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

Avinash Ravipati 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 ID941628036
PECOS Enrollment IDI20200922003112, I20251015004855
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 Avinash Ravipati reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
802 AVENUE J
Marble Falls, TX 78654
  • Reassigned Medicare billing, Texas enrollment
  • 162 clinicians in this Medicare group
Internal Medicine
1515 SAVANNAH RD
Lewes, DE 19958
  • Reassigned Medicare billing, Delaware enrollment
  • 382 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 5

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
757 services443 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
207 services122 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
75 services75 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.
33 services23 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin 95249
Continuous monitoring of blood sugar involves a small sensor inserted under the skin. This sensor measures glucose levels in tissue fluid throughout the day and night, providing real-time readings. It aids in managing diabetes effectively.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78665 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers18 claims234 services$18.27 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers17 claims500 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers79 claims368 services$5.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers22 claims50 services$0.86 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers379 claims379 services$187.33 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
1 supplier17 claims17 services$186.59 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 Avinash Ravipati's NPI number?

The NPI number for Avinash Ravipati is 1528444379. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Avinash Ravipati located?

Avinash Ravipati practices at 3950 N A W Grimes Blvd Ste N202, Round Rock, TX 78665. The listed phone number is (877) 800-5722.

What is Avinash Ravipati's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Avinash Ravipati enrolled in Medicare?

Yes. Avinash Ravipati 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 Avinash Ravipati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Avinash Ravipati reassigns Medicare benefits to 2 organizations: Lone Star Circle Of Care (Marble Falls, TX) and Beebe Physician Network, Inc. (Lewes, DE). 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 Avinash Ravipati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Avinash Ravipati accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and Ambetter from Louisiana Healthcare Connections and 12 other insurers list Avinash Ravipati 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 Avinash Ravipati was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.