PRATHIBHA SURAPANENI
NPI 1548688641
Internal Medicine - Hematology & Oncology in San Antonio, TX

Q: What is Prathibha Surapaneni's NPI number?

The NPI number for Prathibha Surapaneni is 1548688641. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Q: What is Prathibha Surapaneni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since April 04, 2014PECOS EnrolledAccepts Medicare Assignment

84.41/100

CMS Quality Rating

4383 MEDICAL DR, SAN ANTONIO, TX 78229(210) 593-5700 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2020, May 21, 2016 (2 updates tracked since 2016).

On this page

About Prathibha Surapaneni NPPES

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

PRATHIBHA SURAPANENI (NPI 1548688641) is an individual hematology & oncology provider in San Antonio, Texas, licensed in Texas (R8998) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1548688641

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NamePRATHIBHA SURAPANENI

Location Address4383 MEDICAL DRSan Antonio, TX 78229-3307

Mailing Address21711 Rugosa HlSan Antonio, TX 78256-2453 · (347) 733-3345

Phone(210) 593-5700

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 4, 2014

Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration

NPPES CertifiedAugust 3, 2020

✔ NPI 1548688641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in TX · R8998

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

4383 MEDICAL DR, San Antonio, TX 78229

Open in Google Maps ↗

Accepted Insurance

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

Prathibha Surapaneni 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 ID3577854421

PECOS Enrollment IDI20200717002171

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 24

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

6,480 services21 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

1,404 services20 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

389 services103 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

365 services103 patients

Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less 96367

This procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.

272 services27 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

271 services110 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.

269 services166 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

182 services26 patients

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.

155 services49 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

152 services32 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

119 services16 patients

Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 86300

This is a blood test that measures the level of CA 15-3, a protein often higher in individuals with certain types of cancer. It helps monitor response to treatment and check for cancer recurrence. It's not a standalone diagnostic test but used alongside other evaluations.

89 services27 patients

Injection, diphenhydramine hcl, up to 50 mg J1200

Diphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.

83 services12 patients

Carcinoembryonic antigen (cea) protein level 82378

Carcinoembryonic Antigen (CEA) protein level is a blood test often used in cancer care. It measures the amount of CEA protein in your blood, which can increase in cases of certain types of cancer. It's used to monitor treatment progress and check for cancer recurrence.

69 services18 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

69 services15 patients

Magnesium level 83735

A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.

38 services27 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

31 services24 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

30 services23 patients

Iron binding capacity 83550

Iron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.

30 services23 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

30 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services29 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.

25 services16 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.

21 services21 patients

Phosphate level 84100

A phosphate level test measures the amount of phosphate in your blood. Phosphate is a chemical that contains the mineral phosphorus, crucial for energy production, muscle and nerve function, and bone growth. Imbalances may indicate kidney disease or other health issues.

17 services13 patients

Hospital Affiliations CMS Care Compare

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

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 78229 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

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.

84.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

75.48

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

93%444 patients4/55-star benchmark: 100%

Colorectal Cancer Screening

68%659 patients3/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%2,700 patients5/55-star benchmark: 100%

e-Prescribing

99%2,569 patients4/55-star benchmark: 100%

Oncology: Medical and Radiation - Plan of Care for Pain

100%175 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 100% · 492 patients

10%21 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

92%1,100 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

58%290 patients3/55-star benchmark: 98%

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.

Leave this field empty

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.

JARON EVAN MARK M.D.

Obstetrics & Gynecology (Gynecologic Oncology)

4383 MEDICAL DR
SAN ANTONIO, TX 78229

Bexar County (210) 593-5700

DR. SARA MARIA CONDE MD

Internal Medicine (Medical Oncology)

4383 MEDICAL DR, 2ND FLOOR
SAN ANTONIO, TX 78229

Bexar County (210) 593-5700

DR. AMY S LANG M.D.

Internal Medicine (Medical Oncology)

4383 MEDICAL DR
SAN ANTONIO, TX 78229

Bexar County (210) 593-5700

DR. JOSEPH R. HOLAHAN M.D.

Internal Medicine (Hematology)

4383 MEDICAL DR
SAN ANTONIO, TX 78229

Bexar County (210) 593-5700

DR. NAOMI L. WILLIAMS DNP, FNP-BC, NP-C

Nurse Practitioner (Family)

4383 MEDICAL DR
SAN ANTONIO, TX 78229

Bexar County (210) 593-5721

ARTHUR ROSENTHAL MD

Surgery

4383 MEDICAL DR
SAN ANTONIO, TX 78229

Bexar County (210) 616-0657

JAMES BRIAN SZENDER MD

Obstetrics & Gynecology (Gynecologic Oncology)

4383 MEDICAL DR
SAN ANTONIO, TX 78229

Bexar County (210) 593-5700

DR. HANNI SALIH M.D.

Internal Medicine (Medical Oncology)

4383 MEDICAL DR
SAN ANTONIO, TX 78229

Bexar County (210) 593-5700

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 Prathibha Surapaneni's NPI number?

The NPI number for Prathibha Surapaneni is 1548688641. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Where is Prathibha Surapaneni located?

Prathibha Surapaneni practices at 4383 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 593-5700.

What is Prathibha Surapaneni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Prathibha Surapaneni enrolled in Medicare?

Yes. Prathibha Surapaneni 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 Prathibha Surapaneni accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Prathibha Surapaneni 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 Prathibha Surapaneni affiliated with any hospitals?

According to CMS data, Prathibha Surapaneni is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Prathibha Surapaneni was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.