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PRITHVI REDDY AKEPATI MD
NPI 1932603073
Internal Medicine - Gastroenterology in Albuquerque, NM

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment
1 UNIVERSITY OF NEW MEXICO MSC10-5550, ALBUQUERQUE, NM 87131(505) 272-4661(505) 272-4628 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2024, Jun 14, 2024, Mar 22, 2018 (3 updates tracked since 2018).

About Prithvi Reddy Akepati Md NPPES

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

PRITHVI REDDY AKEPATI MD (NPI 1932603073) is an individual gastroenterology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2024-0146) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1932603073
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePRITHVI REDDY AKEPATICredential: MD
Location Address1 UNIVERSITY OF NEW MEXICO MSC10-5550Albuquerque, NM 87131-0001
Mailing Address1 University Of New Mexico Msc10-5550Albuquerque, NM 87131-0001 · (505) 272-4755 · Fax (505) 272-4628
Phone(505) 272-4661
Fax(505) 272-4628
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 22, 2018
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1932603073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NM · MD2024-0146
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 UNIVERSITY OF NEW MEXICO MSC10-5550, Albuquerque, NM 87131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

Prithvi Reddy Akepati 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 ID6709134174
PECOS Enrollment IDI20240822001340
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 6

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
19 services19 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
18 services18 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
16 services16 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.
14 services14 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
14 services14 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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

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

SHEKINAH DAWN MALONE MD
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO MSC10-5550
ALBUQUERQUE, NM 87131
Bernalillo County (505) 362-7003

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 Prithvi Reddy Akepati's NPI number?

The NPI number for Prithvi Reddy Akepati is 1932603073. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Prithvi Reddy Akepati located?

Prithvi Reddy Akepati practices at 1 University Of New Mexico Msc10-5550, Albuquerque, NM 87131. The listed phone number is (505) 272-4661.

What is Prithvi Reddy Akepati's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Prithvi Reddy Akepati enrolled in Medicare?

Yes. Prithvi Reddy Akepati 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 Prithvi Reddy Akepati accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Prithvi Reddy Akepati 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 Prithvi Reddy Akepati affiliated with any hospitals?

According to CMS data, Prithvi Reddy Akepati is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Prithvi Reddy Akepati was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.