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PALLAVI REDDY KAMJULA M.D.
NPI 1871789891
Internal Medicine in Fort Worth, TX

Active since September 24, 2007PECOS Enrolled
4400 OAK PARK LN, FORT WORTH, TX 76109(817) 985-7772 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2025, Nov 25, 2020, Jun 13, 2016 (3 updates tracked since 2016).

About Pallavi Reddy Kamjula M.d. NPPES

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

PALLAVI REDDY KAMJULA M.D. (NPI 1871789891) is an individual internal medicine provider in Fort Worth, Texas, licensed in New York (245564) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871789891
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePALLAVI REDDY KAMJULACredential: M.D.
Location Address4400 OAK PARK LNFort Worth, TX 76109-9534
Mailing Address4400 Oak Park LnFt Worth, TX 76109-9534 · (817) 985-7772
Phone(817) 985-7772
Sole ProprietorNo
Enumeration DateSeptember 24, 2007
Last NPPES UpdateApril 2, 20253 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1871789891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 245564
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.
4400 OAK PARK LN, Fort Worth, TX 76109
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Other Identifiers 1

Medicaid02922723NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pallavi Reddy Kamjula M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76109 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES 10

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

MEDICAL EDGE HEALTHCARE GROUP PA
Clinic/Center (Sleep Disorder Diagnostic)
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (972) 506-7800
KELLY MCDANIEL CCC-SLP
Speech-Language Pathologist
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (469) 892-7500
SHEA ROLLINS MA, BCBA
Behavior Analyst
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (469) 892-7500
SARAH YOUSSEF OTR/L
Occupational Therapist
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (469) 892-7500
STRATEGIC MEDICAL GROUP TX PLLC
Clinic/Center (Primary Care)
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (817) 438-1586
STUART CHARLES PICKELL MD
Internal Medicine
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (817) 985-7772
OSAYOMWANBO OMORODION NP
Nurse Practitioner
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (817) 985-7772
ASTY CARLETTE DUVERSONNE
Nurse Practitioner (Family)
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (817) 985-7772

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 Pallavi Kamjula's NPI number?

The NPI number for Pallavi Kamjula is 1871789891. It was assigned to this individual provider in the NPPES registry on September 24, 2007.

Where is Pallavi Kamjula located?

Pallavi Kamjula practices at 4400 Oak Park Ln, Fort Worth, TX 76109. The listed phone number is (817) 985-7772.

What is Pallavi Kamjula's specialty?

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

Is Pallavi Kamjula enrolled in Medicare?

Yes. Pallavi Kamjula is registered in the Medicare PECOS enrollment system.

What insurance does Pallavi Kamjula accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Pallavi Kamjula 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 Pallavi Kamjula was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.