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KRISHNA SUNKAVALLI M.D.
NPI 1689666356
Family Medicine in Hamlin, TX

Active since August 18, 2005PECOS Enrolled
350 NW AVENUE F, HAMLIN, TX 79520(325) 576-3611(325) 576-3854 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krishna Sunkavalli M.d. NPPES

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

KRISHNA SUNKAVALLI M.D. (NPI 1689666356) is an individual family medicine provider in Hamlin, Texas, licensed in Texas (G4409) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689666356
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKRISHNA SUNKAVALLICredential: M.D.
Location Address350 NW AVENUE FHamlin, TX 79520-3016
Mailing AddressPo Box 14422, Krishna SunkavalliBelfast, ME 04915-4037 · (325) 576-3611 · Fax (325) 576-3854
Phone(325) 576-3611
Fax(325) 576-3854
Sole ProprietorYes
Enumeration DateAugust 18, 2005
Last NPPES UpdateMarch 18, 2015
✔ NPI 1689666356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · G4409
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
350 NW AVENUE F, Hamlin, TX 79520
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Other Identifiers 3

Medicaid1395006-08TX
Medicare UPINB26779
Medicare PIN00TX28TX

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krishna Sunkavalli M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79520 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
43%108 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
38%201 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
23%78 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,333 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
69%26 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
98%530 patients5/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
30%427 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
77%530 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%530 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
5%530 patients
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.

HAMLIN HOSPITAL DISTRICT
Clinic/Center (Rural Health)
350 NW AVENUE F
HAMLIN, TX 79520
Jones County (325) 597-3611
TONIA LEA COOK FNP-C
Nurse Practitioner (Family)
350 NW AVENUE F
HAMLIN, TX 79520
Jones County (325) 576-3611
MELODIE VIOLET TARR
Nurse Practitioner
350 NW AVENUE F
HAMLIN, TX 79520
Jones County (325) 576-3611

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 Krishna Sunkavalli's NPI number?

The NPI number for Krishna Sunkavalli is 1689666356. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Krishna Sunkavalli located?

Krishna Sunkavalli practices at 350 NW Avenue F, Hamlin, TX 79520. The listed phone number is (325) 576-3611.

What is Krishna Sunkavalli's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Krishna Sunkavalli enrolled in Medicare?

Yes. Krishna Sunkavalli is registered in the Medicare PECOS enrollment system.

What insurance does Krishna Sunkavalli accept?

Health plans from Blue Cross and Blue Shield of Texas list Krishna Sunkavalli 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.

When was this NPI record last updated?

The NPPES record for Krishna Sunkavalli was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.