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BIRENDRA NARAYAN LAL M.D.
NPI 1760437719
Internal Medicine in Denison, TX

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
5016 S US HIGHWAY 75, ATTN: HOSPITALIST PROGRAM, DENISON, TX 75020(903) 416-4378(903) 416-4980 Get Directions Write a Review

NPPES record last updated: January 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Birendra Narayan Lal M.d. NPPES

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

BIRENDRA NARAYAN LAL M.D. (NPI 1760437719) is an individual internal medicine provider in Denison, Texas, licensed in Texas (M2685) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Alliancehealth Madill, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1760437719
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBIRENDRA NARAYAN LALCredential: M.D.
Location Address5016 S US HIGHWAY 75, ATTN: HOSPITALIST PROGRAMDenison, TX 75020-4584
Mailing Address5016 S Us Highway 75, Attn: Hospitalist ProgramDenison, TX 75020-4584 · (903) 416-4378 · Fax (903) 416-4980
Phone(903) 416-4378
Fax(903) 416-4980
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 24, 2006
Last NPPES UpdateJanuary 21, 2013
✔ NPI 1760437719 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 TX · M2685
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 ListedHospitalistTaxonomy 208M00000X · License M2685 (TX)
5016 S US HIGHWAY 75, Denison, TX 75020
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Other Identifiers 3

Medicare UPINI44920
Medicaid177215401TX
Medicare PIN8G1324TX

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 and accepts Medicare assignment

Birendra Narayan Lal 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 ID2567480395
PECOS Enrollment IDI20051109001069
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 2

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.

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.
263 services253 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Alliancehealth Madill

Critical Access Hospitals · Madill, OK
OwnershipVoluntary non-profit - Other
CMS Certification Number371326
Location901 S 5th AveMadill, OK 73446 · Marshall County
Emergency services

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Tmc- Bonham Hospital

Critical Access Hospitals · Bonham, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451370
Location504 Lipscomb StreetBonham, TX 75418 · Fannin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75020 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
79%624 patients4/55-star benchmark: 100%
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 20

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

OMAR ALEJANDRO SUJO MD
Family Medicine (Physician Nutrition Specialist)
5016 S US HIGHWAY 75
DENISON, TX 75020
Grayson County (903) 416-4001
DR. DREW CONLAN CASTLEBERRY MD
Specialist
5016 S US HIGHWAY 75
DENISON, TX 75020
Grayson County (903) 892-1131
WATERLOO PARK INPATIENT SERVICES PLLC
Internal Medicine
5016 S US HIGHWAY 75
DENISON, TX 75020
Grayson County (973) 251-1132
BARRETT WESLEY COMPTON D.O.
Family Medicine
5016 S US HIGHWAY 75, ATTN: RESIDENCY PROGRAM
DENISON, TX 75020
Grayson County (817) 480-4840
DR. JOE L NIEHUS MD
Radiology (Diagnostic Radiology)
5016 S US HIGHWAY 75, RADIOLOGY DEPARTMENT
DENISON, TX 75020
Grayson County (903) 892-1131
DR. ARVIND V PEDDADA MD
Physical Medicine & Rehabilitation
5016 S US HIGHWAY 75
DENISON, TX 75020
Grayson County (817) 284-9850
WILLIAM BROOKS FREY M.D.
Specialist
5016 S US HIGHWAY 75, RADIOLOGY DEPARTMENT
DENISON, TX 75020
Grayson County (903) 892-1131
BRADLEY KYLE HAMMETT M.D.
Radiology (Diagnostic Radiology)
5016 S US HIGHWAY 75, RADIOLOGY DEPT
DENISON, TX 75020
Grayson County (903) 892-1131

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 Birendra Lal's NPI number?

The NPI number for Birendra Lal is 1760437719. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Birendra Lal located?

Birendra Lal practices at 5016 S Us Highway 75 Attn: Hospitalist Program, Denison, TX 75020. The listed phone number is (903) 416-4378.

What is Birendra Lal's specialty?

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

Is Birendra Lal enrolled in Medicare?

Yes. Birendra Lal 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 Birendra Lal accept?

Health plans from Blue Cross and Blue Shield of Texas list Birendra Lal 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 Birendra Lal affiliated with any hospitals?

According to CMS data, Birendra Lal is affiliated with Alliancehealth Madill, Texoma Medical Center and Tmc- Bonham Hospital.

When was this NPI record last updated?

The NPPES record for Birendra Lal was last updated on January 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.