VIJAYA KOMMINENI M.D
NPI 1790086106
Internal Medicine in Denton, TX

Active since November 16, 2010PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
3000 N INTERSTATE 35, DENTON, TX 76201(940) 898-7144 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vijaya Kommineni M.d NPPES

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

VIJAYA KOMMINENI M.D (NPI 1790086106) is an individual internal medicine provider in Denton, Texas, licensed in Texas (P6666) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1790086106
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameVIJAYA KOMMINENICredential: M.D
Location Address3000 N INTERSTATE 35Denton, TX 76201-5119
Mailing Address12221 Merit Drive, Suite 1500Dallas, TX 75251 · (214) 217-1900 · Fax (214) 217-1920
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 16, 2010
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
NPI 1790086106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · P6666 Licensed in NE · 6401
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.
3000 N INTERSTATE 35, Denton, TX 76201

Secondary Practice Location 1

Location 1601 N 30th StOmaha, NE 68131-2137 · Phone (402) 280-5250

Accepted 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

Vijaya Kommineni 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 ID6305069881
PECOS Enrollment IDI20140602001797
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 4

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.

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.
147 services102 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
35 services34 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.
35 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76201 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.

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

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…
76%234 patients3/55-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.

Nurse Practitioner (Acute Care)
3000 N INTERSTATE 35
DENTON, TX 76201
Nurse Practitioner (Family)
3000 N INTERSTATE 35
DENTON, TX 76201
Nurse Practitioner (Adult Health)
3000 N INTERSTATE 35
DENTON, TX 76201
Nurse Practitioner (Acute Care)
3000 N INTERSTATE 35
DENTON, TX 76201
Emergency Medicine
3000 N INTERSTATE 35
DENTON, TX 76201
Internal Medicine
3000 N INTERSTATE 35
DENTON, TX 76201
Internal Medicine (Critical Care Medicine)
3000 N INTERSTATE 35
DENTON, TX 76201
Internal Medicine (Hospice and Palliative Medicine)
3000 N INTERSTATE 35
DENTON, TX 76201

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 Vijaya Kommineni's NPI number?

The NPI number for Vijaya Kommineni is 1790086106. It was assigned to this individual provider in the NPPES registry on November 16, 2010.

Where is Vijaya Kommineni located?

Vijaya Kommineni practices at 3000 N Interstate 35, Denton, TX 76201. The listed phone number is (940) 898-7144.

What is Vijaya Kommineni's specialty?

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

Is Vijaya Kommineni enrolled in Medicare?

Yes. Vijaya Kommineni 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 Vijaya Kommineni 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 2 other insurers list Vijaya Kommineni 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 Vijaya Kommineni affiliated with any hospitals?

According to CMS data, Vijaya Kommineni is affiliated with Medical City Denton.

When was this NPI record last updated?

The NPPES record for Vijaya Kommineni was last updated on April 24, 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.