MAHESH GHANSHYAM CHANGLANI MD
NPI 1861499808
Internal Medicine - Cardiovascular Disease in Mcallen, TX

Active since July 06, 2005PECOS EnrolledAccepts Medicare Assignment
87.68/100
CMS Quality Rating
5521 N MCCOLL RD, MCALLEN, TX 78504(956) 362-8420(956) 362-8448 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2020, Apr 19, 2018, Jan 20, 2017 and 1 more (4 updates tracked since 2015).

About Mahesh Ghanshyam Changlani Md NPPES

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

MAHESH GHANSHYAM CHANGLANI MD (NPI 1861499808) is an individual cardiovascular disease provider in Mcallen, Texas, licensed in Texas (P8456) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Starr County Memorial Hospital, and maintains a secondary practice location in Mcallen.

NPPES Registry Identity

NPI1861499808
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMAHESH GHANSHYAM CHANGLANICredential: MD
Location Address5521 N MCCOLL RDMcallen, TX 78504-2208
Mailing AddressPo Box 4449Mcallen, TX 78502-4449 · (956) 362-2171 · Fax (956) 618-3051
Fax(956) 362-8448
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 6, 2005
Last NPPES UpdateApril 15, 20204 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
NPI 1861499808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in TX · P8456 Licensed in LA · 10976R
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5521 N MCCOLL RD, Mcallen, TX 78504

Secondary Practice Location 1

Location 1500 E Ridge Rd, Ste 101McAllen, TX 78503-1506 · Phone (956) 686-5226 · Fax (956) 618-3051

Other Identifiers 1

Medicaid330853802TX

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

Mahesh Ghanshyam Changlani Md 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 ID4688763733
PECOS Enrollment IDI20140310001438
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 19

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
297 services212 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
244 services231 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.
187 services131 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.
138 services104 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.
91 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients

Hospital Affiliations CMS Care Compare 2

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

Starr County Memorial Hospital

Acute Care Hospitals · Rio Grande City, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450654
Location128 N Fm Rd 3167Rio Grande City, TX 78582 · Starr County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

87.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.74
Improvement Activities40

Reported Quality Measures

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…
100%537 patients5/55-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 8

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

Nurse Practitioner (Family)
5521 N MCCOLL RD
MCALLEN, TX 78504
Specialist/Technologist (Speech-Language Assistant)
5521 N MCCOLL RD
MCALLEN, TX 78504
Nurse Practitioner (Family)
5521 N MCCOLL RD
MCALLEN, TX 78504
Home Health
5521 N MCCOLL RD
MCALLEN, TX 78504
Physician Assistant
5521 N MCCOLL RD
MCALLEN, TX 78504
Clinic/Center (Rehabilitation)
5521 N MCCOLL RD
MCALLEN, TX 78504
Nurse Practitioner (Acute Care)
5521 N MCCOLL RD
MCALLEN, TX 78504
Occupational Therapist
5521 N MCCOLL RD
MCALLEN, TX 78504

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 Mahesh Changlani's NPI number?

The NPI number for Mahesh Changlani is 1861499808. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Where is Mahesh Changlani located?

Mahesh Changlani practices at 5521 N Mccoll Rd, Mcallen, TX 78504. The listed phone number is (956) 362-8420.

What is Mahesh Changlani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mahesh Changlani enrolled in Medicare?

Yes. Mahesh Changlani 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 Mahesh Changlani 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 3 other insurers list Mahesh Changlani 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 Mahesh Changlani affiliated with any hospitals?

According to CMS data, Mahesh Changlani is affiliated with Starr County Memorial Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Mahesh Changlani was last updated on April 15, 2020. 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.