SWATHI KONDAPALLI M.D.
NPI 1598196743
Psychiatry & Neurology - Neurocritical Care in Houston, TX

Active since December 12, 2013PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
6400 FANNIN ST STE 2800, HOUSTON, TX 77030(713) 486-8000(713) 486-8088 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2020, Jul 25, 2019, Jun 9, 2017 (3 updates tracked since 2017).

About Swathi Kondapalli M.d. NPPES

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

SWATHI KONDAPALLI M.D. (NPI 1598196743) is an individual neurocritical care provider in Houston, Texas, licensed in Texas (S2821) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1598196743
Entity TypeIndividualFemale
Primary Taxonomy2084A2900X
Provider Legal NameSWATHI KONDAPALLICredential: M.D.
Location Address6400 FANNIN ST STE 2800Houston, TX 77030-1534
Mailing Address6400 Fannin St., Ste 2070Houston, TX 77030-1541 · (713) 486-8000 · Fax (713) 486-8088
Fax(713) 486-8088
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 12, 2013
Last NPPES UpdateFebruary 7, 20203 updates tracked since enumeration
NPI 1598196743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Neurocritical CareAllopathic & Osteopathic Physicians
Taxonomy Code2084A2900X
License Licensed in TX · S2821
Definition
The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License S2821 (TX)
6400 FANNIN ST STE 2800, Houston, TX 77030

Accepted 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

Swathi Kondapalli 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 ID6406187996
PECOS Enrollment IDI20191015000950
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
307 services142 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.
107 services62 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.
42 services20 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
20 services19 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.
20 services15 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

Hospital Affiliations CMS Care Compare 4

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

Citizens Medical Center

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450023
Location2701 Hospital DriveVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.64
Promoting Interoperability100
Improvement Activities40
Cost50.93

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.

Psychiatry & Neurology (Neurology)
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Psychiatry & Neurology (Neurocritical Care)
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Physician Assistant
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Neurological Surgery
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6400 FANNIN ST STE 2800
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 Swathi Kondapalli's NPI number?

The NPI number for Swathi Kondapalli is 1598196743. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Where is Swathi Kondapalli located?

Swathi Kondapalli practices at 6400 Fannin St Ste 2800, Houston, TX 77030. The listed phone number is (713) 486-8000.

What is Swathi Kondapalli's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurocritical Care, with taxonomy code 2084A2900X.

Is Swathi Kondapalli enrolled in Medicare?

Yes. Swathi Kondapalli 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 Swathi Kondapalli 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 4 other insurers list Swathi Kondapalli 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 Swathi Kondapalli affiliated with any hospitals?

According to CMS data, Swathi Kondapalli is affiliated with Citizens Medical Center, Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System and Memorial Hermann Memorial City Hospital.

When was this NPI record last updated?

The NPPES record for Swathi Kondapalli was last updated on February 7, 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.