DR. SAINATH GADDAM MBBS, MD
NPI 1912142985
Internal Medicine - Interventional Cardiology in Frisco, TX

Active since December 04, 2008PECOS EnrolledAccepts Medicare Assignment
14111 KING RD STE 320, FRISCO, TX 75036(469) 888-4890(949) 404-6871 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, May 2, 2024, Feb 5, 2024 and 5 more (8 updates tracked since 2016).

About Dr. Sainath Gaddam Mbbs, Md NPPES

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

DR. SAINATH GADDAM MBBS, MD (NPI 1912142985) is an individual interventional cardiology provider in Frisco, Texas, licensed in Texas (R4698) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912142985
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. SAINATH GADDAMCredential: MBBS, MD
Location Address14111 KING RD STE 320Frisco, TX 75036-0810
Mailing Address14111 King Rd Ste 320Frisco, TX 75036-0810 · (469) 888-4890 · Fax (949) 404-6871
Fax(949) 404-6871
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 4, 2008
Last NPPES UpdateMay 21, 20248 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
NPI 1912142985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · R4698
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD445400 (PA), R4698 (TX)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 0101251759 (VA), TP714 (KY)
14111 KING RD STE 320, Frisco, TX 75036

Secondary Practice Locations 2

Location 1200 E Evergreen St Ste 200ASherman, TX 75090-5056 · Phone (469) 888-4890 · Fax (866) 292-0929
Location 22008 E Hebron Pkwy Ste 120Carrollton, TX 75007-1601 · Phone (469) 888-4890

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

Dr. Sainath Gaddam Mbbs, 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 ID648435503
PECOS Enrollment IDI20171023002912, I20230628000853, I20241127001510
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 23

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.
510 services216 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.
165 services72 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.
154 services148 patients
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.
112 services104 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.
106 services105 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
96 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450730
Location4343 North Josey LaneCarrollton, TX 75010 · Denton County

Buchanan General Hospital

Acute Care Hospitals · Grundy, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490127
Location1535 Slate Creek RoadGrundy, VA 24614 · Buchanan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75036 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 7

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

Internal Medicine
14111 KING RD STE 320
FRISCO, TX 75036
Internal Medicine
14111 KING RD STE 320
FRISCO, TX 75036
Family Medicine
14111 KING RD STE 320
FRISCO, TX 75036
Nurse Practitioner (Family)
14111 KING RD STE 320
FRISCO, TX 75036
Nurse Practitioner (Acute Care)
14111 KING RD STE 320
FRISCO, TX 75036
Nurse Practitioner (Family)
14111 KING RD STE 320
FRISCO, TX 75036
Internal Medicine (Interventional Cardiology)
14111 KING RD STE 320
FRISCO, TX 75036

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 Sainath Gaddam's NPI number?

The NPI number for Sainath Gaddam is 1912142985. It was assigned to this individual provider in the NPPES registry on December 4, 2008.

Where is Sainath Gaddam located?

Sainath Gaddam practices at 14111 King Rd Ste 320, Frisco, TX 75036. The listed phone number is (469) 888-4890.

What is Sainath Gaddam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Sainath Gaddam enrolled in Medicare?

Yes. Sainath Gaddam 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 Sainath Gaddam accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 8 other insurers list Sainath Gaddam 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 Sainath Gaddam affiliated with any hospitals?

According to CMS data, Sainath Gaddam is affiliated with Texoma Medical Center, Medical Center Of Mckinney, Medical City Plano, Sana Healthcare Carrollton D/B/A Carrollton Regional Medical Center and Buchanan General Hospital.

When was this NPI record last updated?

The NPPES record for Sainath Gaddam was last updated on May 21, 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.