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MAMATHA KONDAPALLI M.D.
NPI 1689052409
Internal Medicine in Dallas, TX

Active since May 13, 2015PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
5495 BELT LINE RD STE 200, DALLAS, TX 75254(469) 774-1532 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mamatha Kondapalli M.d. NPPES

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

MAMATHA KONDAPALLI M.D. (NPI 1689052409) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (T4541) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1689052409
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMAMATHA KONDAPALLICredential: M.D.
Location Address5495 BELT LINE RD STE 200Dallas, TX 75254-7658
Mailing Address2201 Hempstead Turnpike, Department Of Medicine, Nassau University Medical CenterEast Meadow, NY 11554-1849 · (516) 572-6501
Phone(469) 774-1532
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 13, 2015
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1689052409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · T4541
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.
5495 BELT LINE RD STE 200, Dallas, TX 75254
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mamatha 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 ID4789935016
PECOS Enrollment IDI20230410002046
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mamatha Kondapalli reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Questcare Hospitalists PLLC
3.8 mi
Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
NPI 1265441620 (954) 939-5000
Hospitalist Medicine Physicians Of Texas, PLLC
223 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700
Houston County Healthcare Authority
637 mi
Internal Medicine
889 ELBA HWY
Troy, AL 36079
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group
NPI 1295065811 (334) 347-3404

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
449 services150 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
126 services121 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.
38 services38 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.
31 services21 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.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75254 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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers11 claims11 services$20.23 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
3 suppliers11 claims11 services$111.38 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 3

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

BUSHRA I CHAUDHRY MD
Internal Medicine
5495 BELT LINE RD STE 200
DALLAS, TX 75254
Dallas County (954) 939-5000
KARYN BROOKE LOCKHART AGPCNP-BC
Nurse Practitioner (Adult Health)
5495 BELT LINE RD STE 200
DALLAS, TX 75254
Dallas County (214) 712-2606
PADMA NAGALAKSHMI MUNUKUTI MD
Internal Medicine
5495 BELT LINE RD STE 200
DALLAS, TX 75254
Dallas County (469) 518-4823

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 Mamatha Kondapalli's NPI number?

The NPI number for Mamatha Kondapalli is 1689052409. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Where is Mamatha Kondapalli located?

Mamatha Kondapalli practices at 5495 Belt Line Rd Ste 200, Dallas, TX 75254. The listed phone number is (469) 774-1532.

What is Mamatha Kondapalli's specialty?

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

Is Mamatha Kondapalli enrolled in Medicare?

Yes. Mamatha 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.

Which organizations bill Medicare for Mamatha Kondapalli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamatha Kondapalli reassigns Medicare benefits to 3 organizations: Questcare Hospitalists PLLC (Dallas, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and Houston County Healthcare Authority (Troy, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mamatha Kondapalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mamatha Kondapalli accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Mamatha 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 Mamatha Kondapalli affiliated with any hospitals?

According to CMS data, Mamatha Kondapalli is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for Mamatha Kondapalli was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.