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PRIYA KOTHAPALLI M.D.
NPI 1780062158
Internal Medicine - Interventional Cardiology in Houston, TX

Active since May 18, 2015PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
6565 FANNIN ST, HOUSTON, TX 77030(409) 504-3145 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Priya Kothapalli M.d. NPPES

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

PRIYA KOTHAPALLI M.D. (NPI 1780062158) is an individual interventional cardiology provider in Houston, Texas, licensed in Texas (R9996) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Hays Medical Center, and is a graduate of Temple University School Of Medicine (2015).

NPPES Registry Identity

NPI1780062158
Entity TypeIndividualFemale
Primary Taxonomy207RI0011X
Provider Legal NamePRIYA KOTHAPALLICredential: M.D.
Location Address6565 FANNIN STHouston, TX 77030-2703
Mailing AddressPo Box 1666Nederland, TX 77627-1666 · (409) 504-3145
Phone(409) 504-3145
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2015
Enumeration DateMay 18, 2015
Last NPPES UpdateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
✔ NPI 1780062158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in TX · R9996
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6565 FANNIN ST, Houston, TX 77030
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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

Priya Kothapalli 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 ID9638425143
PECOS Enrollment IDI20231019003799
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 8

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
44 services43 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
35 services34 patients
Injection, perflutren lipid microspheres, per ml Q9957
Perflutren lipid microspheres injection, per ml, is a diagnostic tool used to enhance ultrasound images. It contains tiny gas-filled bubbles that improve the clarity of the images, aiding in a more accurate diagnosis.
30 services15 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
24 services23 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
23 services23 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.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Hays Medical Center

Acute Care Hospitals · Hays, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170013
Location2220 Canterbury DriveHays, KS 67601 · Ellis County
Emergency services Birthing friendly

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr 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.

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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

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.

SMAROULA DILIOGLOU PHD
Specialist/Technologist, Pathology
6565 FANNIN ST, MS205
HOUSTON, TX 77030
Harris County (713) 394-6450
MS. PRISCILLA DIAZ RN
Registered Nurse
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-2030
HOUSTON METHODIST CARDIOVASCULAR ANESTHESIA
Anesthesiology
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 667-6097
LAN ZHOU MD
Pathology (Anatomic Pathology & Clinical Pathology)
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 394-6450
DR. AMANDA WALTON BASFORD M.D.
Internal Medicine (Nephrology)
6565 FANNIN ST, FONDREN 270
HOUSTON, TX 77030
Harris County (713) 441-0006
MRS. AMY REYES MICLAT RN, MS, CCRN, APRN-B
Nurse Practitioner (Acute Care)
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-4999
DR. MAHEEN ADAM WARDAK MD
Anesthesiology
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-2194
DR. SHUANG LI M.D.
Hospitalist
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 368-9466

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 Priya Kothapalli's NPI number?

The NPI number for Priya Kothapalli is 1780062158. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Where is Priya Kothapalli located?

Priya Kothapalli practices at 6565 Fannin St, Houston, TX 77030. The listed phone number is (409) 504-3145.

What is Priya Kothapalli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Priya Kothapalli enrolled in Medicare?

Yes. Priya Kothapalli 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.

Is Priya Kothapalli affiliated with any hospitals?

According to CMS data, Priya Kothapalli is affiliated with Hays Medical Center and Peterson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Priya Kothapalli was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.