SURESH K KOTA MD
NPI 1609921782
Internal Medicine in Midland, TX

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
94.86/100
CMS Quality Rating
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701(432) 221-1111 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2023, Jul 6, 2023 (2 updates tracked since 2023).

About Suresh K Kota Md NPPES

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

SURESH K KOTA MD (NPI 1609921782) is an individual internal medicine provider in Midland, Texas, licensed in Texas (M8095) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Medical Center Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1609921782
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSURESH K KOTACredential: MD
Location Address400 ROSALIND REDFERN GROVER PKWYMidland, TX 79701-5846
Mailing Address4214 Andrews Hwy Ste 240Midland, TX 79703-4817 · (432) 221-5965
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJanuary 25, 2007
Last NPPES UpdateSeptember 12, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
NPI 1609921782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · M8095 Licensed in WI · 47025 Licensed in IA · 35611
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
400 ROSALIND REDFERN GROVER PKWY, Midland, TX 79701

Other Identifiers 5

Medicaid0749283IA
Medicaid1749283IA
OtherM8095TX · Tx Lic
Other47568IA · Wellmark Blue Cross
Medicaid34539400WI

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

Suresh K Kota 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 ID6002885142
PECOS Enrollment IDI20140715001687
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 4

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
250 services235 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
47 services47 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.
33 services31 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Medical Center Hospital

Acute Care Hospitals · Odessa, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450132
Location500 W 4th StreetOdessa, TX 79761 · Ector County
Emergency services Birthing friendly

Midland Memorial Hospital

Acute Care Hospitals · Midland, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450133
Location400 Rosalind Redfern Grover ParkwayMidland, TX 79701 · Midland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79701 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.

94.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost59.88

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
400 ROSALIND REDFERN GROVER PKWY, 3RD FLOOR
MIDLAND, TX 79701
Nurse Practitioner (Family)
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Radiology (Diagnostic Radiology)
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Student in an Organized Health Care Education/Training Program
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Internal Medicine
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Internal Medicine
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Internal Medicine (Critical Care Medicine)
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Nurse Practitioner (Neonatal)
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701

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 Suresh Kota's NPI number?

The NPI number for Suresh Kota is 1609921782. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Suresh Kota located?

Suresh Kota practices at 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701. The listed phone number is (432) 221-1111.

What is Suresh Kota's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Suresh Kota enrolled in Medicare?

Yes. Suresh Kota 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 Suresh Kota 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 5 other insurers list Suresh Kota 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 Suresh Kota affiliated with any hospitals?

According to CMS data, Suresh Kota is affiliated with Medical Center Hospital and Midland Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Suresh Kota was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.