Dr Pavan Devulapally, MD - Medicare Nephrology in San Antonio, TX

Dr Pavan Devulapally, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in San Antonio, Texas. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice M Reza Mizani Md Pa and his current practice location is 4511 Nw Loop 410, Suite 104, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 614-7900.

Dr Pavan Devulapally is licensed to practice in Texas (license number P9550) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306085477.

Contact Information

Dr Pavan Devulapally, MD
4511 Nw Loop 410, Suite 104,
San Antonio, TX 78229-5124
(210) 614-7900
(210) 615-1211

Map and Direction




Physician's Profile

Full NameDr Pavan Devulapally
GenderMale
SpecialityNephrology
Experience24 Years
Location4511 Nw Loop 410, San Antonio, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Pavan Devulapally graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1306085477
  • Provider Enumeration Date: 02/13/2009
  • Last Update Date: 07/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7810165479
  • Enrollment ID: I20140722000629

Medical Identifiers

Medical identifiers for Dr Pavan Devulapally such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306085477NPI-NPPES
337482901MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine P9550 (Texas)Secondary
207RN0300XInternal Medicine - Nephrology P9550 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Usrc Medical Center, LlcSan antonio, TXDialysis facility
San Antonio West DialysisSan antonio, TXDialysis facility
Northwest Medical Center DialysisSan antonio, TXDialysis facility
Methodist HospitalSan antonio, TXHospital
Christus Santa Rosa Medical CenterSan antonio, TXHospital
Peterson Regional Medical CenterKerrville, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
M Reza Mizani Md Pa529470968925

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Pavan Devulapally allows following entities to bill medicare on his behalf.
Entity NameM Reza Mizani Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275503393
PECOS PAC ID: 5294709689
Enrollment ID: O20040823000238

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pavan Devulapally is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Pavan Devulapally, MD
Po Box 504152,
Saint Louis, MO 63150-4152

Ph: (210) 212-8622
Dr Pavan Devulapally, MD
4511 Nw Loop 410, Suite 104,
San Antonio, TX 78229-5124

Ph: (210) 614-7900

Reviews and Comments


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Socrates B Aramburu, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.