DR. PRASHANTH PEDDI M.D.
NPI 1922263375
Internal Medicine in Longview, TX

Q: What is Prashanth Peddi's NPI number?

The NPI number for Prashanth Peddi is 1922263375. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Q: What is Prashanth Peddi'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 Prashanth Peddi was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since July 25, 2008PECOS EnrolledAccepts Medicare Assignment

700 E MARSHALL AVE, LONGVIEW, TX 75601(903) 315-1488(903) 315-1656 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Prashanth Peddi M.d. NPPES

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

DR. PRASHANTH PEDDI M.D. (NPI 1922263375) is an individual internal medicine provider in Longview, Texas, licensed in Texas (P1384) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1922263375

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. PRASHANTH PEDDICredential: M.D.

Location Address700 E MARSHALL AVELongview, TX 75601-5580

Mailing AddressPo Box 4207Longview, TX 75606-4207 · (903) 315-1488 · Fax (903) 315-1656

Phone(903) 315-1488

Fax(903) 315-1656

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJuly 25, 2008

Last NPPES UpdateSeptember 19, 2024

NPPES CertifiedSeptember 19, 2024

✔ NPI 1922263375 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 · P1384✔ Licensed in MI · 4301091957

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 ListedHospitalistTaxonomy 208M00000X · License P1384 (TX)

700 E MARSHALL AVE, Longview, TX 75601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, 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 and accepts Medicare assignment

Dr. Prashanth Peddi M.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 ID840455879

PECOS Enrollment IDI20120626000076

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 11

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.

234 services119 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.

71 services56 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

34 services33 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

33 services32 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.

32 services32 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

31 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450684

Location18951 Memorial NorthHumble, TX 77338 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75601 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers26 claims29 services$12.94 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers46 claims49 services$58.04 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier20 claims20 services$28.55 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier17 claims17 services$11.67 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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