DR. PRASANNA KHANDAVILLI M.D.
NPI 1669648689
Internal Medicine in Dallas, TX

Active since April 30, 2008PECOS EnrolledAccepts Medicare Assignment
5939 HARRY HINES BLVD, DALLAS, TX 75390(214) 645-8600 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Prasanna Khandavilli M.d. NPPES

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

DR. PRASANNA KHANDAVILLI M.D. (NPI 1669648689) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (P9213) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1669648689
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRASANNA KHANDAVILLICredential: M.D.
Location Address5939 HARRY HINES BLVDDallas, TX 75390
Mailing AddressPo Box 845347Dallas, TX 75284-7208 · (214) 645-8600 · Fax (214) 645-8601
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 30, 2008
Last NPPES UpdateMay 13, 2019
NPI 1669648689 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 · P9213 Licensed in NY · 003120
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.
5939 HARRY HINES BLVD, Dallas, TX 75390

Secondary Practice Location 1

Location 15939 Harry Hines BlvdDallas, TX 75390 · Phone (214) 645-8600

Other Identifiers 2

Medicaid335946501TX
Other8EK395TX · Bcbstx

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

Dr. Prasanna Khandavilli 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 ID5395812440
PECOS Enrollment IDI20140702001605
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 10

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.

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.
237 services165 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.
121 services100 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
82 services82 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services38 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
31 services31 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.
22 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims66 services$5.29 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier24 claims24 services$5.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$60.81 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$29.02 avg. paid by Medicare
Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only E2375
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$28.27 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers36 claims36 services$204.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant (Medical)
5939 HARRY HINES BLVD
DALLAS, TX 75390
Durable Medical Equipment & Medical Supplies
5939 HARRY HINES BLVD, PROFESSIONAL OFFICE BLDG 2, SUITE 210
DALLAS, TX 75390
Obstetrics & Gynecology
5939 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Pulmonary Disease)
5939 HARRY HINES BLVD
DALLAS, TX 75390
Physician Assistant
5939 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine
5939 HARRY HINES BLVD
DALLAS, TX 75390
Transplant Surgery
5939 HARRY HINES BLVD
DALLAS, TX 75390
Dermatology
5939 HARRY HINES BLVD, 4TH FLOOR
DALLAS, TX 75390

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 Prasanna Khandavilli's NPI number?

The NPI number for Prasanna Khandavilli is 1669648689. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Prasanna Khandavilli located?

Prasanna Khandavilli practices at 5939 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 645-8600.

What is Prasanna Khandavilli's specialty?

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

Is Prasanna Khandavilli enrolled in Medicare?

Yes. Prasanna Khandavilli 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 Prasanna Khandavilli accept?

Health plans from Blue Cross and Blue Shield of Texas list Prasanna Khandavilli 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 Prasanna Khandavilli affiliated with any hospitals?

According to CMS data, Prasanna Khandavilli is affiliated with Parkland Health & Hospital System and Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Prasanna Khandavilli was last updated on May 13, 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.