Praveena Jyothinagaram, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

Q4780 Issued in TX

Practice address

4491 Long Prairie Rd Ste 200
Flower Mound, TX 75028-2012

Phone

(469) 645-0202

NPI assigned

Jul 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Texas Kidney Disease AssociatesGroup PAC ID 0941296107, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Renal Center of Flower Mound Dialysis facility, Flower Mound, TX, CCN 672807
• Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068
• Medical City Lewisville Hospital, Lewisville, TX, CCN 450669
• Carrollton Regional Medical Center Hospital, Carrollton, TX, CCN 450730
• Medical City Denton Hospital, Denton, TX, CCN 450634

Merit-based Incentive Payment System (MIPS)

Final score

92.88 of 100Reported as individual

Quality

90.8

Promoting interoperability

100

Improvement activities

40

Cost

68.8

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: praveena.jyothinagaram.1@23918.direct.athenahealth.com
• Direct secure messaging: praveena.jyothinagaram@northtexaskidney.directbygreenway.com

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.

• North Texas Kidney Disease Associates

  • Nephrology Physician
  • Lewisville, TX
  • NPI 1821169632
  Medicare reassignment Care Compare group NPD
• North Texas Kidney Disease Associates

  • Nephrology Physician
  • Carrollton, TX
  • NPI 1154777068
  NPD
• North Texas Kidney Disease Associates

  • Nephrology Physician
  • Flower Mound, TX
  • NPI 1528824786
  NPD
• Star MD, PLLC

  • Hospitalist Physician
  • Mesquite, TX
  • NPI 1972059392
  NPD (past)

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

• Renal Center of Flower Mound, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Flower Mound, TX
  • NPI 1861887051

  Dialysis facility

  Care Compare affiliation Name & address match
• Columbia Medical Center of Denton Subsidiary LP

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  Care Compare affiliation
• Columbia Medical Center of Lewisville Subsidiary LP

  • General Acute Care Hospital
  • Lewisville, TX
  • NPI 1255384533
  Care Compare affiliation
• Flower Mound Hospital Partners, LLC

  • General Acute Care Hospital
  • Flower Mound, TX
  • NPI 1902047376
  Care Compare affiliation
• Sana Healthcare Carrollton

  • General Acute Care Hospital
  • Carrollton, TX
  • NPI 1184262800
  Care Compare affiliation

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1306046859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WATERS RIDGE DR STE A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576039",
            "telephone_number": "972-219-0558",
            "fax_number": "214-466-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4491 LONG PRAIRIE RD STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282012",
            "telephone_number": "469-645-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JYOTHINAGARAM",
        "first_name": "PRAVEENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "Q4780",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "Q4780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350271801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.