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SIREESHA GOGINENI M.D
NPI 1801974423
Internal Medicine - Critical Care Medicine in Austin, TX

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
75.79/100
CMS Quality Rating
5920 W WILLIAM CANNON DR STE 110, AUSTIN, TX 78749(512) 829-1137(512) 727-7628 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2019, Oct 25, 2019, Oct 24, 2016 (3 updates tracked since 2016).

About Sireesha Gogineni M.d NPPES

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

SIREESHA GOGINENI M.D (NPI 1801974423) is an individual critical care medicine provider in Austin, Texas, licensed in Texas (N3049) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1801974423
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameSIREESHA GOGINENICredential: M.D
Location Address5920 W WILLIAM CANNON DR STE 110Austin, TX 78749-1902
Mailing Address5920 W William Cannon Dr Ste 110Austin, TX 78749-1902 · (512) 829-1137 · Fax (512) 727-7628
Phone(512) 829-1137
Fax(512) 727-7628
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 11, 20193 updates tracked since enumeration
✔ NPI 1801974423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in TX · N3049
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.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License N3049 (TX)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License N3049 (TX)
5920 W WILLIAM CANNON DR STE 110, Austin, TX 78749
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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

Sireesha Gogineni 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 ID8921064262
PECOS Enrollment IDI20090928000489
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 Reassignment

Medicare enrollment records show Sireesha Gogineni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Abc Sleep PLLC
0.1 mi
Sleep Medicine
5920 W WILLIAM CANNON DR STE 110
Austin, TX 78749
  • Reassigned Medicare billing, Texas enrollment
NPI 1477115830 (512) 829-1137

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 7

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 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.
399 services243 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
275 services141 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.
224 services146 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
94 services89 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
75 services75 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78749 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

75.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost19.29

Reported Quality Measures

Colorectal Cancer Screening
82%688 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
100%2,530 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%504 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%1,361 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
98%973 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
72%842 patients5/55-star benchmark: 61%
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.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
18 suppliers593 claims594 services$32.33 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
19 suppliers336 claims336 services$71.69 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
19 suppliers319 claims909 services$27.50 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers263 claims1,478 services$15.28 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
13 suppliers158 claims811 services$13.06 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
14 suppliers437 claims437 services$47.09 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

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

ABC SLEEP PLLC
Internal Medicine (Sleep Medicine)
5920 W WILLIAM CANNON DR STE 110
AUSTIN, TX 78749
Travis County (512) 829-1137

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 Sireesha Gogineni's NPI number?

The NPI number for Sireesha Gogineni is 1801974423. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Sireesha Gogineni located?

Sireesha Gogineni practices at 5920 W William Cannon Dr Ste 110, Austin, TX 78749. The listed phone number is (512) 829-1137.

What is Sireesha Gogineni's specialty?

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

Is Sireesha Gogineni enrolled in Medicare?

Yes. Sireesha Gogineni 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 organization bills Medicare for Sireesha Gogineni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sireesha Gogineni reassigns Medicare benefits to Abc Sleep PLLC (Austin, TX). The 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 Sireesha Gogineni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sireesha Gogineni accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Sireesha Gogineni 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.

When was this NPI record last updated?

The NPPES record for Sireesha Gogineni was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.