Individual provider Active NPI

Naveen Kella, M.D.

  • Urology Physician
  • San Antonio, TX
National Provider Identifier
1154301182
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
L5784 Issued in TX
Practice address
9618 Huebner Road , Suite 120
San Antonio, TX 78240
Phone
(210) 617-3670
Fax
(888) 316-9464
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X L5784 TX Primary

Addresses

Primary practice location

9618 Huebner Road , Suite 120
San Antonio, TX 78240

Mailing address

9618 Huebner Road , Suite 120
San Antonio, TX 78240-1660
Phone (210) 617-3670

Other practice location 1

1010 NW Loop 410
Suite 100A
San Antonio, TX 78213-2220
Phone (210) 617-3670

Other identifiers 2

IdentifierTypeStateIssuer
161561903MedicaidTX
TXB159055OtherTXMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805001193 TX Practitioner - Urology 1759352271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Southwestern Medical School at Dallas, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Naveen Kella MD PAGroup PAC ID 0840506283, 3 clinicians

Practice addresses (Care Compare)

9618 Huebner Rd
Suite 120
San Antonio, TX 78240-1775
Phone (210) 617-3670

Hospital & facility affiliations

  • Foundation Surgical Hospital of San Antonio Hospital, San Antonio, TX, CCN 670054
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007
  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

Merit-based Incentive Payment System (MIPS)

Final score
89.11 of 100Reported as individual
Quality
78.21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L5784TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naveen Kella MD PA CurrentSince Dec 22, 2011 Accepting new patients
Urology San Antonio Urology Past Accepting new patients
Urology San Antonio, P.a. Past Accepting new patients
Urology San Antonio Urology Past Accepting new patients
Urology San Antonio PA Urology Past Accepting new patients

Locations

9102 Floyd Curl Dr
Ste D3
San Antonio, TX 78240
Phone (210) 247-0850

9102 Floyd Curl Dr
San Antonio, TX 78240
Phone (210) 247-0888

9618 Huebner Rd
Ste 120
San Antonio, TX 78240
Phone (210) 617-3670

603 E Amber St
Ste 101
San Antonio, TX 78221
Phone (210) 660-5040

19234 Stonehue
San Antonio, TX 78258
Phone (210) 481-9544

Interoperability endpoints

  • Direct secure messaging: naveen.kella@791328391172.direct.elationemr.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1154301182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 HUEBNER ROAD , SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401660",
            "telephone_number": "210-617-3670",
            "fax_number": "888-316-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 HUEBNER ROAD , SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78240",
            "telephone_number": "210-617-3670",
            "fax_number": "888-316-9464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 NW Loop 410",
            "address_2": "Suite 100A",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782132220",
            "country_code": "US",
            "telephone_number": "210-617-3670",
            "fax_number": "210-996-2384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLA",
        "first_name": "NAVEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "L5784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161561903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB159055",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.