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SILPA RAMIREDDY MD
NPI 1538456975
Hospitalist in Houston, TX

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment
18220 STATE HIGHWAY 249, HOUSTON, TX 77070(281) 737-0587 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 4, 2023, Aug 13, 2020 (2 updates tracked since 2020).

About Silpa Ramireddy Md NPPES

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

SILPA RAMIREDDY MD (NPI 1538456975) is an individual hospitalist provider in Houston, Texas, licensed in Texas (R1855) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1538456975
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSILPA RAMIREDDYCredential: MD
Location Address18220 STATE HIGHWAY 249Houston, TX 77070-4347
Mailing Address13300 Hargrave Rd Ste 480Houston, TX 77070-7374 · (281) 737-0587
Phone(281) 737-0587
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 6, 2011
Last NPPES UpdateMarch 4, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1538456975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · R1855
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.
18220 STATE HIGHWAY 249, Houston, TX 77070
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare.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

Silpa Ramireddy 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 ID244457356
PECOS Enrollment IDI20170726002950
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 6

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 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.
289 services138 patients
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.
150 services87 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.
123 services121 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
43 services27 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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…
100%59 patients5/55-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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$17.75 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
2 suppliers13 claims13 services$91.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARLENA NICOLE PIERCE MS, RD, LD
Dietitian, Registered
18220 STATE HIGHWAY 249
HOUSTON, TX 77070
Harris County (281) 737-9939
NICOLINE VIOLET LEE M.D.
Internal Medicine
18220 STATE HIGHWAY 249, SUITE 400
HOUSTON, TX 77070
Harris County (281) 737-0570
ELISA MARIE CHI SUPAN PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
18220 STATE HIGHWAY 249
HOUSTON, TX 77070
Harris County (281) 737-1440
DR. MIN-YUEN C CHEUNG
Internal Medicine
18220 STATE HIGHWAY 249
HOUSTON, TX 77070
Harris County (281) 737-0587
JAMES BRUCE MOSELEY M.D.
Orthopaedic Surgery (Sports Medicine)
18220 STATE HIGHWAY 249, SUITE 400
HOUSTON, TX 77070
Harris County (281) 737-0999
GEORGE R. SIMONS JR. D.O.
Emergency Medicine
18220 STATE HIGHWAY 249
HOUSTON, TX 77070
Harris County (281) 363-3156
MRS. PATRICIA RAE THOMPSON P.T.A.
Physical Therapy Assistant
18220 STATE HIGHWAY 249, STE. 150
HOUSTON, TX 77070
Harris County (281) 477-4746
MICHAEL ESANTSI MD PA
Internal Medicine
18220 STATE HIGHWAY 249, SUITE 350
HOUSTON, TX 77070
Harris County (281) 477-3393

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 Silpa Ramireddy's NPI number?

The NPI number for Silpa Ramireddy is 1538456975. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Silpa Ramireddy located?

Silpa Ramireddy practices at 18220 State Highway 249, Houston, TX 77070. The listed phone number is (281) 737-0587.

What is Silpa Ramireddy's specialty?

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

Is Silpa Ramireddy enrolled in Medicare?

Yes. Silpa Ramireddy 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 Silpa Ramireddy accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Silpa Ramireddy 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 Silpa Ramireddy affiliated with any hospitals?

According to CMS data, Silpa Ramireddy is affiliated with Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Silpa Ramireddy was last updated on March 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.