SUSHANTH KAKARLA
NPI 1710338173
Internal Medicine in San Antonio, TX

Q: What is Sushanth Kakarla's NPI number?

The NPI number for Sushanth Kakarla is 1710338173. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Q: What is Sushanth Kakarla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sushanth Kakarla was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 28, 2016PECOS EnrolledAccepts Medicare Assignment

91.4/100

CMS Quality Rating

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-3000 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2023, Jun 28, 2016 (2 updates tracked since 2016).

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About Sushanth Kakarla NPPES

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

SUSHANTH KAKARLA (NPI 1710338173) is an individual internal medicine provider in San Antonio, Texas, licensed in Oregon (MD209417) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and maintains a secondary practice location in Corvallis.

NPPES Registry Identity

NPI1710338173

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSUSHANTH KAKARLA

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901

Phone(210) 358-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 28, 2016

Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration

NPPES CertifiedAugust 7, 2023

✔ NPI 1710338173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OR · MD209417

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4502 MEDICAL DR, San Antonio, TX 78229

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Secondary Practice Location 1

Location 1441 NW Elks Dr Ste 100Corvallis, OR 97330-3744 · Phone (541) 768-4950

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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

Sushanth Kakarla 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 ID4880987478

PECOS Enrollment IDI20220713003934

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 6

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 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.

377 services125 patients

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.

147 services119 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.

68 services68 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.

42 services24 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.

33 services30 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.

20 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380014

Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County

Emergency services Birthing friendly

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380022

Location1046 6th Avenue SWAlbany, OR 97321 · Linn County

Emergency services Birthing friendly

Samaritan Pacific Community Hospital

Critical Access Hospitals · Newport, OR

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number381314

Location930 SW Abbey StreetNewport, OR 97365 · Lincoln County

Emergency services Birthing friendly

Samaritan Lebanon Community Hospital

Critical Access Hospitals · Lebanon, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381323

Location525 N Santiam HighwayLebanon, OR 97355 · Linn County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

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.

91.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.63

Promoting Interoperability

100

Improvement Activities

Cost

68.32

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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)