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YAMINI KALLA MD
NPI 1568420693
Internal Medicine - Infectious Disease in Abilene, TX

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
74.53/100
CMS Quality Rating
1904 PINE ST, STE 200, ABILENE, TX 79601(325) 670-5570(325) 670-4017 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2019, Aug 9, 2016 (2 updates tracked since 2016).

About Yamini Kalla Md NPPES

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

YAMINI KALLA MD (NPI 1568420693) is an individual infectious disease provider in Abilene, Texas, licensed in Texas (L8093) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Hendrick Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1568420693
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameYAMINI KALLACredential: MD
Location Address1904 PINE ST, STE 200Abilene, TX 79601-2450
Mailing Address1904 Pine St, Ste 200Abilene, TX 79601-2450 · (325) 670-5570 · Fax (325) 670-4017
Phone(325) 670-5570
Fax(325) 670-4017
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 1, 2006
Last NPPES UpdateMarch 19, 20192 updates tracked since enumeration
✔ NPI 1568420693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · L8093
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1904 PINE ST, Abilene, TX 79601
Open in Google Maps ↗

Other Identifiers 1

Medicaid165048301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Yamini Kalla 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 ID9638153182
PECOS Enrollment IDI20040614001346
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 9

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.
970 services271 patients
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.
919 services202 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.
482 services115 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.
282 services239 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.
92 services64 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.
62 services48 patients

Hospital Affiliations CMS Care Compare

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

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79601 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.

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.

74.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.04
Promoting Interoperability100
Improvement Activities40
Cost22.27

Reported Quality Measures

Breast Cancer Screening
43%75 patients2/55-star benchmark: 93%
Cervical Cancer Screening
40%86 patients2/55-star benchmark: 98%
Controlling High Blood Pressure
67%104 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
18%55 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
58%55 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
15%1,413 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
13%128 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%262 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
6%216 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%320 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 37% · 287 patients
Patients screened: 42% · 287 patients
30%20 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
89%123 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%127 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 119 patients
Patients totalRate: 14% · 123 patients
12%123 patients3/55-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.

Other Providers at the Same Location NPPES 12

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

ABILENE KIDNEY CLINIC, P.A.
Internal Medicine (Nephrology)
1904 PINE ST, SUITE 4B
ABILENE, TX 79601
Jones County (325) 670-4494
MIN GAO MD
Internal Medicine
1904 PINE ST, SUITE 200
ABILENE, TX 79601
Jones County (325) 670-5570
IBRAHIM S FAKHOURY MD
Internal Medicine (Nephrology)
1904 PINE ST, SUITE 4B
ABILENE, TX 79601
Jones County (325) 670-4494
DR. RYAN Q. GREEN DDS, MD
Dentist (Oral and Maxillofacial Surgery)
1904 PINE ST, SUITE 1-D
ABILENE, TX 79601
Jones County (325) 232-8939
SARAH FERGUSON M.D.
Internal Medicine
1904 PINE ST, SUITE 200
ABILENE, TX 79601
Jones County (325) 670-5570
HENDRICK PROVIDER NETWORK
Internal Medicine
1904 PINE ST, SUITE 200
ABILENE, TX 79601
Jones County (325) 670-4220
DR. TAMARA STOJANOVIC MD
Internal Medicine (Pulmonary Disease)
1904 PINE ST, STE. 3A
ABILENE, TX 79601
Jones County (325) 670-4033
NEELIMA RYALI M.D.
Internal Medicine
1904 PINE ST, SUITE 200
ABILENE, TX 79601
Jones County (325) 670-5570

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 Yamini Kalla's NPI number?

The NPI number for Yamini Kalla is 1568420693. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Yamini Kalla located?

Yamini Kalla practices at 1904 Pine St Ste 200, Abilene, TX 79601. The listed phone number is (325) 670-5570.

What is Yamini Kalla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Yamini Kalla enrolled in Medicare?

Yes. Yamini Kalla 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 Yamini Kalla accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Yamini Kalla 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 Yamini Kalla affiliated with any hospitals?

According to CMS data, Yamini Kalla is affiliated with Hendrick Medical Center.

When was this NPI record last updated?

The NPPES record for Yamini Kalla was last updated on March 19, 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.