INDIRA MADHAVI KOMMURU MD
NPI 1558641035
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Houston, TX

Active since August 28, 2011PECOS Enrolled
82.38/100
CMS Quality Rating
6410 FANNIN ST STE 732, HOUSTON, TX 77030(215) 317-3945 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2019, Aug 23, 2018 (2 updates tracked since 2018).

About Indira Madhavi Kommuru Md NPPES

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

INDIRA MADHAVI KOMMURU MD (NPI 1558641035) is an individual neurology with special qualifications in child neurology provider in Houston, Texas, licensed in Texas (S0485) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jersey City.

NPPES Registry Identity

NPI1558641035
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameINDIRA MADHAVI KOMMURUCredential: MD
Location Address6410 FANNIN ST STE 732Houston, TX 77030
Mailing Address6410 Fannin St Ste 732Houston, TX 77030-5202 · (215) 317-3945
Sole ProprietorNo
Enumeration DateAugust 28, 2011
Last NPPES UpdateApril 8, 20192 updates tracked since enumeration
✔ NPI 1558641035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in TX · S0485
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
6410 FANNIN ST STE 732, Houston, TX 77030

Secondary Practice Location 1

Location 1444 Washington Blvd, apt # 6455Jersey City, NJ 07310 · Phone (215) 317-3945

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indira Madhavi Kommuru Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Indira Kommuru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 2

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

Student in an Organized Health Care Education/Training Program
6410 FANNIN ST STE 732
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6410 FANNIN ST STE 732
HOUSTON, TX 77030

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 Indira Kommuru's NPI number?

The NPI number for Indira Kommuru is 1558641035. It was assigned to this individual provider in the NPPES registry on August 28, 2011.

Where is Indira Kommuru located?

Indira Kommuru practices at 6410 Fannin St Ste 732, Houston, TX 77030. The listed phone number is (215) 317-3945.

What is Indira Kommuru's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Indira Kommuru enrolled in Medicare?

Yes. Indira Kommuru is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Indira Kommuru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Indira Kommuru reassigns Medicare benefits to Ut Physicians (Houston, TX). The 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 Indira Kommuru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Indira Kommuru 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 3 other insurers list Indira Kommuru 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 Indira Kommuru was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.