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IRFANALI RAJABALI KUGASIA M.D.
NPI 1790023901
Internal Medicine - Critical Care Medicine in Mansfield, TX

Active since January 23, 2013PECOS EnrolledAccepts Medicare Assignment
2800 E BROAD ST STE 204, MANSFIELD, TX 76063(682) 900-4174(682) 900-4174 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Irfanali Rajabali Kugasia M.d. NPPES

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

IRFANALI RAJABALI KUGASIA M.D. (NPI 1790023901) is an individual critical care medicine provider in Mansfield, Texas, licensed in Texas (R3895) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Corpus Christi, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1790023901
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameIRFANALI RAJABALI KUGASIACredential: M.D.
Location Address2800 E BROAD ST STE 204Mansfield, TX 76063-6411
Mailing Address2800 E Broad St Ste 204Mansfield, TX 76063-6411 · (682) 900-4174 · Fax (682) 900-4175
Phone(682) 900-4174
Fax(682) 900-4174
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 23, 2013
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1790023901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in TX · R3895
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
2800 E BROAD ST STE 204, Mansfield, TX 76063
Open in Google Maps ↗

Secondary Practice Location 1

Location 1234 E 149th StBronx, NY 10451-5504 · Phone (718) 579-5016

Other Identifiers 1

Medicaid3822763-01TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Irfanali Rajabali Kugasia 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 ID6406116383
PECOS Enrollment IDI20180214002405
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

4

Medicare enrollment records show Irfanali Kugasia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Critical Care Professionals
0.1 mi
Pulmonary Disease
2800 E BROAD ST STE 500
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 33 clinicians in this Medicare group
NPI 1922714179 (682) 900-4174
Pulmonics Plus PLLC
17 mi
Pulmonary Disease
141 RVG PKWY STE 101
Waxahachie, TX 75165
  • Reassigned Medicare billing, Texas enrollment
  • 20 clinicians in this Medicare group
NPI 1962812941 (972) 923-8923
Southeast Texas Intensivists, PLLC
245 mi
Critical Care Medicine
2830 CALDER ST
Beaumont, TX 77702
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
NPI 1801579867 (409) 892-7171
Gulf Coast Intensivists, PLLC
325 mi
Critical Care Medicine
600 ELIZABETH ST
Corpus Christi, TX 78404
  • Reassigned Medicare billing, Texas enrollment
  • 69 clinicians in this Medicare group
NPI 1104509199 (361) 881-3000

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 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
360 services173 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.
215 services126 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.
82 services81 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.
42 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 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.
29 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450372
Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County
Emergency services Birthing friendly

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450677
Location11801 South FreewayBurleson, TX 76028 · Johnson County
Emergency services Birthing friendly

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers21 claims21 services$58.81 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 6

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

KOLTEN D HERNANDEZ
Nurse Practitioner (Critical Care Medicine)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Tarrant County (682) 900-4174
DR. BABATUNDE O. KOMOLAFE MD
Internal Medicine (Interventional Cardiology)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Tarrant County (817) 752-5242
MR. KASHIF ASLAM MD
Internal Medicine (Critical Care Medicine)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Tarrant County (682) 900-4174
MRS. LACY LYNN TORRES MSN, APRN, AGACNP-BC
Nurse Practitioner (Acute Care)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Tarrant County (682) 900-4174
MANDIP KAUR
Physician Assistant
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Tarrant County (682) 900-4174
KELLIJEANNE MASON AGACNP
Nurse Practitioner (Acute Care)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Tarrant County (682) 900-4174

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 Irfanali Kugasia's NPI number?

The NPI number for Irfanali Kugasia is 1790023901. It was assigned to this individual provider in the NPPES registry on January 23, 2013.

Where is Irfanali Kugasia located?

Irfanali Kugasia practices at 2800 E Broad St Ste 204, Mansfield, TX 76063. The listed phone number is (682) 900-4174.

What is Irfanali Kugasia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Irfanali Kugasia enrolled in Medicare?

Yes. Irfanali Kugasia 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 Irfanali Kugasia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irfanali Kugasia reassigns Medicare benefits to 4 organizations: Pulmonary Critical Care Professionals (Mansfield, TX), Pulmonics Plus PLLC (Waxahachie, TX), Southeast Texas Intensivists, PLLC (Beaumont, TX) and Gulf Coast Intensivists, PLLC (Corpus Christi, 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 Irfanali Kugasia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Irfanali Kugasia accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 other insurers list Irfanali Kugasia 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 Irfanali Kugasia affiliated with any hospitals?

According to CMS data, Irfanali Kugasia is affiliated with Christus Spohn Hospital Corpus Christi, Baylor Scott & White Medical Center- Waxahachie, Texas Health Huguley Hospital Fort Worth South and Methodist Mansfield Medical Center.

When was this NPI record last updated?

The NPPES record for Irfanali Kugasia was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.