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BALAKRISHNA R PRABHAKAR MD
NPI 1821067778
Internal Medicine in Katy, TX

Active since March 14, 2006
1259 FM 1463 RD STE 400, KATY, TX 77494(713) 429-4550(832) 397-6426 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Balakrishna R Prabhakar Md NPPES

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

BALAKRISHNA R PRABHAKAR MD (NPI 1821067778) is an individual internal medicine provider in Katy, Texas, licensed in Texas (N 1075) and active in the NPI registry since March 2006. He maintains a secondary practice location in Katy.

NPPES Registry Identity

NPI1821067778
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBALAKRISHNA R PRABHAKARCredential: MD
Location Address1259 FM 1463 RD STE 400Katy, TX 77494-5480
Mailing Address8806 N Navarro St Ste 600Victoria, TX 77904-1564 · (361) 485-2695 · Fax (361) 485-0635
Phone(713) 429-4550
Fax(832) 397-6426
Sole ProprietorYes
Enumeration DateMarch 14, 2006
Last NPPES UpdateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1821067778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · N 1075✔ Licensed in WV · 19872
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 ListedPediatricsTaxonomy 208000000X · License N 1075 (TX), 19872 (WV)
1259 FM 1463 RD STE 400, Katy, TX 77494
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Secondary Practice Location 1

Location 11259 Fm 1463 Rd Ste 400Katy, TX 77494-5480 · Phone (832) 695-9400 · Fax (888) 720-2860

Other Identifiers 3

OtherN1075TX · Medical License
Other001720356WV · Ms Bcbs
Medicaid6000462000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Areas of Expertise CMS Part B claims

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 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.
14 services14 patients

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

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%58 patients
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…
74%222 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
80%341 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
64%163 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%5,373 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%483 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
84%1,106 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
88%969 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
61%911 patients3/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
75%1,106 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
47%1,106 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
39%1,106 patients
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 4

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

DR. CINDY S JACOB MD
Family Medicine
1259 FM 1463 RD STE 400
KATY, TX 77494
Fort Bend County (832) 695-9400
TRINITY PRIMARY CARE PLLC
Family Medicine
1259 FM 1463 RD STE 400
KATY, TX 77494
Fort Bend County (832) 695-9400
AMADO HOLISTIC PLLC
Family Medicine
1259 FM 1463 RD STE 400
KATY, TX 77494
Fort Bend County (832) 228-2005
TRINITY PRIMARY CARE, PLLC
Internal Medicine
1259 FM 1463 RD STE 400
KATY, TX 77494
Fort Bend County (832) 321-3955

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 Balakrishna Prabhakar's NPI number?

The NPI number for Balakrishna Prabhakar is 1821067778. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Balakrishna Prabhakar located?

Balakrishna Prabhakar practices at 1259 Fm 1463 Rd Ste 400, Katy, TX 77494. The listed phone number is (713) 429-4550.

What is Balakrishna Prabhakar's specialty?

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

What insurance does Balakrishna Prabhakar accept?

Health plans from Blue Cross and Blue Shield of Texas list Balakrishna Prabhakar 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 Balakrishna Prabhakar was last updated on May 1, 2024. 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.