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KISHORE PATCHA M.D.
NPI 1710242946
Internal Medicine - Nephrology in Galveston, TX

Active since July 13, 2012PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
301 UNIVERSITY BLVD, 4.174 JOHN SEALY ANNEX, GALVESTON, TX 77555(409) 772-7399 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2021, Sep 21, 2021, Mar 30, 2018 (3 updates tracked since 2018).

About Kishore Patcha M.d. NPPES

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

KISHORE PATCHA M.D. (NPI 1710242946) is an individual nephrology provider in Galveston, Texas, licensed in Utah (10310641-1205) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1710242946
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameKISHORE PATCHACredential: M.D.
Location Address301 UNIVERSITY BLVD, 4.174 JOHN SEALY ANNEXGalveston, TX 77555-0566
Mailing Address30 N 1900 E Rm 4r312Salt Lake City, UT 84132-0002
Phone(409) 772-7399
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 13, 2012
Last NPPES UpdateNovember 11, 20213 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
✔ NPI 1710242946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in UT · 10310641-1205
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License Q3571 (TX), BP10043728 (TX)
301 UNIVERSITY BLVD, Galveston, TX 77555
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Molina Healthcare and more.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

Kishore Patcha 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 ID446561070
PECOS Enrollment IDI20200402000300, I20200720001234
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 9

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.
164 services99 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
146 services37 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
141 services40 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.
91 services33 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
88 services35 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.
86 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Ogden Regional Medical Center

Acute Care Hospitals · Ogden, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460005
Location5475 South 500 EastOgden, UT 84405 · Weber County
Emergency services

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Brigham City Community Hospital

Acute Care Hospitals · Brigham City, UT
OwnershipProprietary
CMS Certification Number460017
Location950 South Medical DriveBrigham City, UT 84302 · Box Elder County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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
$131.16 typical visit price
range $57.19 – $173.07
Typical copayment $32.79 (range $14.29 – $43.26)
Most-billed visit code 99204
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers44 claims2,400 services$0.30 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers16 claims1,886 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims1,980 services$0.87 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
7 suppliers40 claims40 services$18.93 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
9 suppliers44 claims45 services$12.60 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.

AMY KATHERINE HAVERTY PNP
Nurse Practitioner (Pediatrics)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222
EVA NOVAK BLIGHT NNP
Nurse Practitioner (Neonatal)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222
DR. JENNIFER ANN MINNEMAN MD
Surgery (Trauma Surgery)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-1011
DR. JAMES HAROLD PAVELA MD
Internal Medicine
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-7063
DIAA HAMOUDA MBBCH
Psychiatry & Neurology (Neurology)
301 UNIVERSITY BLVD, JSA 9.128
GALVESTON, TX 77555
Galveston County (409) 772-8031
SOMMER KIRSCH CAUSEY MD
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-1221
RANDA ABDELMASIH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (832) 505-2300
HEATHER PENTON
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222

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 Kishore Patcha's NPI number?

The NPI number for Kishore Patcha is 1710242946. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Kishore Patcha located?

Kishore Patcha practices at 301 University Blvd 4.174 John Sealy Annex, Galveston, TX 77555. The listed phone number is (409) 772-7399.

What is Kishore Patcha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kishore Patcha enrolled in Medicare?

Yes. Kishore Patcha 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 Kishore Patcha accept?

Health plans from Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Kishore Patcha 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 Kishore Patcha affiliated with any hospitals?

According to CMS data, Kishore Patcha is affiliated with Mckay-Dee Hospital, Ogden Regional Medical Center, University Of Utah Hospitals And Clinics and Brigham City Community Hospital.

When was this NPI record last updated?

The NPPES record for Kishore Patcha was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.