MRS. KALPANA RAO BHAIRAVARASU M.D
NPI 1942236682
Internal Medicine - Rheumatology in Houston, TX

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
7200 CAMBRIDGE ST FL 8, HOUSTON, TX 77030(713) 798-3390 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 6, 2023, Oct 23, 2020 (2 updates tracked since 2020).

About Mrs. Kalpana Rao Bhairavarasu M.d NPPES

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

MRS. KALPANA RAO BHAIRAVARASU M.D (NPI 1942236682) is an individual rheumatology provider in Houston, Texas, licensed in Texas (M9162) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Odessa.

NPPES Registry Identity

NPI1942236682
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMRS. KALPANA RAO BHAIRAVARASUCredential: M.D
Location Address7200 CAMBRIDGE ST FL 8Houston, TX 77030-4202
Mailing Address701 W 5th StOdessa, TX 79763-4206 · (432) 335-2222 · Fax (432) 335-1815
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 24, 2006
Last NPPES UpdateJune 6, 20232 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
NPI 1942236682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TX · M9162
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License M9162 (TX), 41392 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License M9162 (TX)
7200 CAMBRIDGE ST FL 8, Houston, TX 77030

Secondary Practice Location 1

Location 1701 W 5th StOdessa, TX 79763-4206 · Phone (432) 335-2222

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

Mrs. Kalpana Rao Bhairavarasu 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 ID446352231
PECOS Enrollment IDI20070226000305
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
135 services79 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.
37 services34 patients
Infusion, normal saline solution, 250 cc J7050
An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
31 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services12 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
18 services17 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

Internal Medicine (Gastroenterology)
7200 CAMBRIDGE ST FL 8
HOUSTON, TX 77030
Internal Medicine (Pulmonary Disease)
7200 CAMBRIDGE ST FL 8
HOUSTON, TX 77030
Internal Medicine (Nephrology)
7200 CAMBRIDGE ST FL 8
HOUSTON, TX 77030
Internal Medicine (Pulmonary Disease)
7200 CAMBRIDGE ST FL 8
HOUSTON, TX 77030
Internal Medicine (Gastroenterology)
7200 CAMBRIDGE ST FL 8
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
7200 CAMBRIDGE ST FL 8
HOUSTON, TX 77030
Internal Medicine (Nephrology)
7200 CAMBRIDGE ST FL 8
HOUSTON, TX 77030
Physician Assistant
7200 CAMBRIDGE ST FL 8
HOUSTON, TX 77030

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 Kalpana Bhairavarasu's NPI number?

The NPI number for Kalpana Bhairavarasu is 1942236682. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Kalpana Bhairavarasu located?

Kalpana Bhairavarasu practices at 7200 Cambridge St Fl 8, Houston, TX 77030. The listed phone number is (713) 798-3390.

What is Kalpana Bhairavarasu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Kalpana Bhairavarasu enrolled in Medicare?

Yes. Kalpana Bhairavarasu 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 Kalpana Bhairavarasu accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Kalpana Bhairavarasu 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 Kalpana Bhairavarasu affiliated with any hospitals?

According to CMS data, Kalpana Bhairavarasu is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and Harris Health System.

When was this NPI record last updated?

The NPPES record for Kalpana Bhairavarasu was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.