VENKATA R KOVVALI M.D.
NPI 1629054317
Internal Medicine - Cardiovascular Disease in Lufkin, TX

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
209 GASLIGHT BLVD, LUFKIN, TX 75904(936) 632-8787 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Venkata R Kovvali M.d. NPPES

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

VENKATA R KOVVALI M.D. (NPI 1629054317) is an individual cardiovascular disease provider in Lufkin, Texas, licensed in Texas (J6148) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1629054317
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameVENKATA R KOVVALICredential: M.D.
Location Address209 GASLIGHT BLVDLufkin, TX 75904-3134
Mailing Address310 Gaslight BlvdLufkin, TX 75904-3133 · (936) 632-8787 · Fax (936) 632-8832
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateDecember 15, 2005
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
NPI 1629054317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · J6148
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License J6148 (TX)
209 GASLIGHT BLVD, Lufkin, TX 75904

Secondary Practice Locations 4

Location 1310 Gaslight BlvdLufkin, TX 75904-3133 · Phone (936) 632-8787 · Fax (936) 632-8832
Location 2208 Craig StJasper, TX 75951-4830 · Phone (936) 632-8787
Location 3951 E Loop 304Crockett, TX 75835-5403 · Phone (936) 632-8787
Location 4505 S John Redditt DrLufkin, TX 75904-3120 · Phone (936) 632-8787

Other Identifiers 1

Medicaid084979601TX

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

Venkata R Kovvali 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 ID2860590023
PECOS Enrollment IDI20070630000085
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 27

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,412 services884 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
539 services309 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.
333 services225 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.
271 services178 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
137 services129 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
107 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Christus Jasper Memorial Hospital

Acute Care Hospitals · Jasper, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450573
Location1275 Marvin Hancock DriveJasper, TX 75951 · Jasper County
Emergency services

Longview Regional Medical Center

Acute Care Hospitals · Longview, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450702
Location2901 N Fourth StLongview, TX 75605 · Gregg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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
$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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
45%555 patients2/55-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 3

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

Internal Medicine (Cardiovascular Disease)
209 GASLIGHT BLVD
LUFKIN, TX 75904
Internal Medicine (Cardiovascular Disease)
209 GASLIGHT BLVD
LUFKIN, TX 75904
Thoracic Surgery (Cardiothoracic Vascular Surgery)
209 GASLIGHT BLVD
LUFKIN, TX 75904

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 Venkata Kovvali's NPI number?

The NPI number for Venkata Kovvali is 1629054317. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Venkata Kovvali located?

Venkata Kovvali practices at 209 Gaslight Blvd, Lufkin, TX 75904. The listed phone number is (936) 632-8787.

What is Venkata Kovvali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Venkata Kovvali enrolled in Medicare?

Yes. Venkata Kovvali 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 Venkata Kovvali accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, UnitedHealthcare and WellPoint list Venkata Kovvali 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 Venkata Kovvali affiliated with any hospitals?

According to CMS data, Venkata Kovvali is affiliated with Ut Health East Texas Tyler Regional Hospital, Chi St Lukes Health Memorial Lufkin, Woodland Heights Medical Center, Christus Jasper Memorial Hospital and Longview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Venkata Kovvali was last updated on January 9, 2024. 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.