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POLLY NIRAVATH MD
NPI 1710123088
Internal Medicine in Houston, TX

Active since December 17, 2008PECOS EnrolledAccepts Medicare Assignment
6445 MAIN STREET, OPC 24, HOUSTON, TX 77030(713) 441-9948 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Polly Niravath Md NPPES

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

POLLY NIRAVATH MD (NPI 1710123088) is an individual internal medicine provider in Houston, Texas, licensed in Texas (M8217) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1710123088
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePOLLY NIRAVATHCredential: MD
Location Address6445 MAIN STREET, OPC 24Houston, TX 77030
Mailing Address6445 Main Street, Opc 24Houston, TX 77030 · (713) 441-9948
Phone(713) 441-9948
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 17, 2008
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 13, 2021
✔ NPI 1710123088 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 · M8217
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.
6445 MAIN STREET, Houston, TX 77030
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Secondary Practice Location 1

Location 11 Baylor Plz, BCM 660Houston, TX 77030-3411 · Phone (713) 798-1311

Other Identifiers 1

Medicaid284968905TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.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

Polly Niravath 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 ID9032381066
PECOS Enrollment IDI20111017000265
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

2

Medicare enrollment records show Polly Niravath reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tmh Physician Associates PLLC
0.1 mi
Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
NPI 1275779225 (713) 441-7389
Houston Methodist Specialty Physicians
1.1 mi
Otolaryngology
7550 GREENBRIAR DR STE 600
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 1,579 clinicians in this Medicare group
NPI 1902614332 (281) 414-6055

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 7

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.
303 services213 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
129 services81 patients
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.
49 services29 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.
30 services18 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.
23 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · 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
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers40 claims3,384 services$0.78 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers34 claims34 services$18.96 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 13

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

JASLEEN KAUR RANDHAWA M.D
Internal Medicine (Hematology & Oncology)
6445 MAIN STREET, OPC24
HOUSTON, TX 77030
Harris County (713) 441-9948
DR. SUDHA KODALI MBBS
Internal Medicine
6445 MAIN STREET, OPC 22
HOUSTON, TX 77030
Harris County (713) 441-4345
JUN ZHANG MD
Internal Medicine (Hematology & Oncology)
6445 MAIN STREET, OPC 24
HOUSTON, TX 77030
Harris County (713) 441-9948
ARLENE SCORSONE
Nurse Practitioner (Acute Care)
6445 MAIN STREET, OPC - 22ND FLR. SUITE 22.001
HOUSTON, TX 77030
Harris County (713) 441-4345
ROBERT S MCFADDEN M.D.
Internal Medicine (Gastroenterology)
6445 MAIN STREET, OPC 22
HOUSTON, TX 77030
Harris County (713) 441-4345
TAMNEET BASRA MD
Internal Medicine (Transplant Hepatology)
6445 MAIN STREET, OUTPATIENT CENTER, FLOOR 22
HOUSTON, TX 77030
Harris County (713) 441-4345
DR. DAVID W VICTOR III M.D.
Internal Medicine (Transplant Hepatology)
6445 MAIN STREET, OPC 22
HOUSTON, TX 77030
Harris County (137) 441-4345
LONI SAVAGE AGACNP
Nurse Practitioner (Acute Care)
6445 MAIN STREET, OPC 24
HOUSTON, TX 77030
Harris County (713) 441-9948

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 Polly Niravath's NPI number?

The NPI number for Polly Niravath is 1710123088. It was assigned to this individual provider in the NPPES registry on December 17, 2008.

Where is Polly Niravath located?

Polly Niravath practices at 6445 Main Street Opc 24, Houston, TX 77030. The listed phone number is (713) 441-9948.

What is Polly Niravath's specialty?

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

Is Polly Niravath enrolled in Medicare?

Yes. Polly Niravath 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 Polly Niravath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Polly Niravath reassigns Medicare benefits to 2 organizations: Tmh Physician Associates PLLC (Houston, TX) and Houston Methodist Specialty Physicians (Houston, TX). 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 Polly Niravath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Polly Niravath accept?

Health plans from WellPoint list Polly Niravath 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 Polly Niravath affiliated with any hospitals?

According to CMS data, Polly Niravath is affiliated with Houston Methodist Hospital, Houston Methodist Baytown Hospital, Houston Methodist Clear Lake Hospital, Houston Methodist Sugarland Hospital and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Polly Niravath was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.