SOUMYA NERAVETLA M.D.
NPI 1558511865
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Round Rock, TX

Active since September 23, 2008PECOS EnrolledAccepts Medicare Assignment
88.15/100
CMS Quality Rating
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665(512) 509-0200 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 19, 2025, Dec 2, 2024, Nov 10, 2020 (3 updates tracked since 2020).

About Soumya Neravetla M.d. NPPES

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

SOUMYA NERAVETLA M.D. (NPI 1558511865) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Round Rock, Texas, licensed in Texas (V2646) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Southwest, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558511865
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameSOUMYA NERAVETLACredential: M.D.
Location Address302 UNIVERSITY BLVDRound Rock, TX 78665-1032
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 23, 2008
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1558511865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in TX · V2646✔ Licensed in GA · 066970✔ Licensed in OH · 35.129702
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 35.129702 (OH), 066970 (GA)
302 UNIVERSITY BLVD, Round Rock, TX 78665

Secondary Practice Locations 2

Location 111806 Mercy BlvdSavannah, GA 31419-1714 · Phone (912) 921-8926
Location 21671 N Limestone StSpringfield, OH 45503-2646 · Phone (937) 324-5511 · Fax (937) 398-0652

Other Identifiers 2

Other12455059Caqh
Medicaid0189204OH

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

Soumya Neravetla M.d. 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 ID6002082260
PECOS Enrollment IDI20241205001756
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

6

Medicare enrollment records show Soumya Neravetla reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1701 E PFLUGERVILLE PKWY
Pflugerville, TX 78660
  • Reassigned Medicare billing, Texas enrollment
  • 2,795 clinicians in this Medicare group
Specialist
6901 MEDICAL PKWY
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 176 clinicians in this Medicare group
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1671 N LIMESTONE ST
Springfield, OH 45503
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
Multi-Specialty
565 S 7TH ST
Bismarck, ND 58504
  • Reassigned Medicare billing, North Dakota enrollment
  • 779 clinicians in this Medicare group
Family Medicine
1600 BRADY ST
Chesaning, MI 48616
  • Reassigned Medicare billing, Michigan enrollment
  • 125 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 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 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.
36 services19 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.
34 services28 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.
32 services29 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.
30 services30 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.
23 services23 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.
21 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Seton Southwest

Acute Care Hospitals · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450865
Location7900 Fm 1826Austin, TX 78737 · Hays County
Emergency services

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Pflugerville

Acute Care Hospitals · Pflugerville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670128
Location2600 East Pflugerville ParkwayPflugerville, TX 78660 · Travis County
Emergency services

Baylor Scott & White Medical Center - Buda

Acute Care Hospitals · Buda, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670131
Location5330 Overpass Road Suite 110Buda, TX 78610 · Hays County
Emergency services

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
$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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

88.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.34
Promoting Interoperability100
Improvement Activities40
Cost57.33

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.

Physician Assistant (Medical)
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Nurse Anesthetist, Certified Registered
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Internal Medicine (Gastroenterology)
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Psychiatry & Neurology (Psychiatry)
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Internal Medicine (Interventional Cardiology)
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Dermatology
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Anesthesiologist Assistant
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Anesthesiology
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665

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 Soumya Neravetla's NPI number?

The NPI number for Soumya Neravetla is 1558511865. It was assigned to this individual provider in the NPPES registry on September 23, 2008.

Where is Soumya Neravetla located?

Soumya Neravetla practices at 302 University Blvd, Round Rock, TX 78665. The listed phone number is (512) 509-0200.

What is Soumya Neravetla's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Soumya Neravetla enrolled in Medicare?

Yes. Soumya Neravetla 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 Soumya Neravetla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soumya Neravetla reassigns Medicare benefits to 6 organizations: Scott & White Clinic (Pflugerville, TX), Providence Health Alliance (Waco, TX), Kettering Independent Medical Group Inc (Miamisburg, OH), Springfield Heart Surgeons LLC (Springfield, OH), Sanford Bismarck (Bismarck, ND) and 1 more organization, listed in the Medicare section above. 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 Soumya Neravetla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soumya Neravetla accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, Medica, Priority Health and Security Health Plan list Soumya Neravetla 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 Soumya Neravetla affiliated with any hospitals?

According to CMS data, Soumya Neravetla is affiliated with Ascension Seton Southwest, Baylor Scott & White Medical Center - Round Rock, Baylor Scott & White Medical Center Pflugerville and Baylor Scott & White Medical Center - Buda.

When was this NPI record last updated?

The NPPES record for Soumya Neravetla was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.