DR. ROOPA NALAM M.D., PH.D
NPI 1851686349
Internal Medicine in Houston, TX

Q: What is Roopa Nalam's NPI number?

The NPI number for Roopa Nalam is 1851686349. It was assigned to this individual provider in the NPPES registry on June 13, 2011.

Q: What is Roopa Nalam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roopa Nalam was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 13, 2011PECOS EnrolledAccepts Medicare Assignment

91.34/100

CMS Quality Rating

6620 MAIN ST, 11TH FLOOR, 11B.17.5, HOUSTON, TX 77030(713) 798-2222(713) 798-0111 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Roopa Nalam M.d., Ph.d NPPES

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

DR. ROOPA NALAM M.D., PH.D (NPI 1851686349) is an individual internal medicine provider in Houston, Texas, licensed in Texas (Q2808) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Baylor College Of Medicine (2011).

NPPES Registry Identity

NPI1851686349

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. ROOPA NALAMCredential: M.D., PH.D

Location Address6620 MAIN ST, 11TH FLOOR, 11B.17.5Houston, TX 77030-2604

Mailing Address4545 Post Oak Place Dr, Suite 130Houston, TX 77027-3164 · (713) 960-8008

Phone(713) 798-2222

Fax(713) 798-0111

Sole ProprietorYes

Medical School CMSBaylor College Of MedicineGraduated 2011

Enumeration DateJune 13, 2011

Last NPPES UpdateDecember 7, 2018

✔ NPI 1851686349 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 · Q2808✔ Licensed in TX · BP10041523

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.

6620 MAIN ST, Houston, TX 77030

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Other Identifiers 1

Medicaid345777204TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.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

Dr. Roopa Nalam M.d., Ph.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 ID5092035527

PECOS Enrollment IDI20150522001161

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 5

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.

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.

101 services99 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.

64 services36 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.

23 services23 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.

20 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Chi St Lukes Health Memorial Livingston

Acute Care Hospitals · Livingston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450395

Location1717 Hwy 59 BypassLivingston, TX 77351 · Polk County

Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450862

Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery 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.

91.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.64

Promoting Interoperability

89.13

Improvement Activities

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.

DR. SRIKANTH KONERU M.D., CARDIOLOGY

Internal Medicine (Cardiovascular Disease)

6620 MAIN ST
HOUSTON, TX 77030

Harris County (713) 798-1000

BAYLOR COLLEGE OF MEDICINE

Orthopaedic Surgery

6620 MAIN ST, SUITE 1325
HOUSTON, TX 77030

Harris County (713) 986-6024

GUILHERME GODOY MD

Urology

6620 MAIN ST, SUITE 1325, MS BCM380
HOUSTON, TX 77030

Harris County (713) 798-5628

JOHN FARMER MD

Internal Medicine (Cardiovascular Disease)

6620 MAIN ST
HOUSTON, TX 77030

Harris County (713) 798-2545

KJERSTI MARIE AAGAARD-TILLERY MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

6620 MAIN ST, SUITE 1450
HOUSTON, TX 77030

Harris County (713) 798-7500

DR. RONALD TIMOTHY COTTON MD

Transplant Surgery

6620 MAIN ST, SUITE 1450
HOUSTON, TX 77030

Harris County (832) 355-1400

DR. MARCUS K HOFFMAN MD

Surgery (Surgical Critical Care)

6620 MAIN ST, SUITE 1350
HOUSTON, TX 77030

Harris County (713) 798-2262

JOHN M. VIERLING MD

Internal Medicine (Gastroenterology)

6620 MAIN ST
HOUSTON, TX 77030

Harris County (713) 798-2500

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 Roopa Nalam's NPI number?

The NPI number for Roopa Nalam is 1851686349. It was assigned to this individual provider in the NPPES registry on June 13, 2011.

Where is Roopa Nalam located?

Roopa Nalam practices at 6620 Main St 11th Floor, 11b.17.5, Houston, TX 77030. The listed phone number is (713) 798-2222.

What is Roopa Nalam's specialty?

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

Is Roopa Nalam enrolled in Medicare?

Yes. Roopa Nalam 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 Roopa Nalam accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Community Health Choice and WellPoint list Roopa Nalam 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 Roopa Nalam affiliated with any hospitals?

According to CMS data, Roopa Nalam is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, Chi St Lukes Health Memorial Livingston and St Luke's The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Roopa Nalam was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.