DR. ABHILASH DURGAM MD
NPI 1700164100
Obstetrics & Gynecology in Houston, TX

Active since August 02, 2011PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6410 FANNIN ST STE 250, HOUSTON, TX 77030(832) 325-7131 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2018, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Abhilash Durgam Md NPPES

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

DR. ABHILASH DURGAM MD (NPI 1700164100) is an individual obstetrics & gynecology provider in Houston, Texas, licensed in Texas (R3833) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1700164100
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ABHILASH DURGAMCredential: MD
Location Address6410 FANNIN ST STE 250Houston, TX 77030
Mailing Address6410 Fannin St Ste 250Houston, TX 77030-3004
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 2, 2011
Last NPPES UpdateJune 27, 20182 updates tracked since enumeration
NPI 1700164100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · R3833
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6410 FANNIN ST STE 250, Houston, TX 77030

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. Abhilash Durgam 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 ID3072811363
PECOS Enrollment IDI20171226000275
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.

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Adult Health)
6410 FANNIN ST STE 250
HOUSTON, TX 77030
Nurse Practitioner (Women's Health)
6410 FANNIN ST STE 250
HOUSTON, TX 77030
Obstetrics & Gynecology
6410 FANNIN ST STE 250
HOUSTON, TX 77030
Obstetrics & Gynecology
6410 FANNIN ST STE 250
HOUSTON, TX 77030
Obstetrics & Gynecology
6410 FANNIN ST STE 250
HOUSTON, TX 77030
Obstetrics & Gynecology (Maternal & Fetal Medicine)
6410 FANNIN ST STE 250
HOUSTON, TX 77030
Obstetrics & Gynecology
6410 FANNIN ST STE 250
HOUSTON, TX 77030
Obstetrics & Gynecology
6410 FANNIN ST STE 250
HOUSTON, TX 77030

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 Abhilash Durgam's NPI number?

The NPI number for Abhilash Durgam is 1700164100. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is Abhilash Durgam located?

Abhilash Durgam practices at 6410 Fannin St Ste 250, Houston, TX 77030. The listed phone number is (832) 325-7131.

What is Abhilash Durgam's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Abhilash Durgam enrolled in Medicare?

Yes. Abhilash Durgam 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 Abhilash Durgam 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 4 other insurers list Abhilash Durgam 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 Abhilash Durgam affiliated with any hospitals?

According to CMS data, Abhilash Durgam is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Abhilash Durgam was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.