PRASAD VENKATA KANNAEGANTI (MD) – Specialist, NPI 1114922630

PRASAD VENKATA KANNAEGANTI (MD) is a healthcare provider. based in North richland hills, Texas. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. N1701 (TX). The NPI Number for PRASAD VENKATA KANNAEGANTI (MD) is 1114922630

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
PRASAD VENKATA KANNAEGANTI (MD)
NPI
1114922630
Phone
(817) 628-0284
Address
6331 BOULEVARD 26
Enumeration Date
21 June 2005
Last Update Date
19 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8176280284
Graduation Year
1997 (29 years ago)
PAC ID
7214904374
Group Practice PAC ID
0941296107
Professional Enrollment ID
I20120123000474
Address ID
TX761801592NO6331XBOUL201
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,168 NEPHROLOGY in TX

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Provider Addresses for PRASAD VENKATA KANNAEGANTI (MD)

  • Boulevard 26, North Richland Hills, Tarrant County, Texas, 76118, United States

    SUITE 220

    NORTH RICHLAND HILLS, TX 761801590

    Phone: (817) 628-0284

    Fax: (817) 628-0288

    Type: Location

  • 3315, Colorado Boulevard, The Ridge at North Texas, Carter, Denton, Denton County, Texas, 76210, United States

    SUITE 102

    DENTON, TX 762106884

    Phone: (940) 320-1708

    Fax: (940) 565-5457

    Type: Mailing

  • 1600 WATERS RIDGE DR STE A

    LEWISVILLE, TX 750576039

    Phone: (972) 219-0558

    Fax: (214) 466-7237

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 145 Open Payments records for all available years, with a total value of $3,412.

Total Amount is formed as General ($3,412) + Research ($0) + Ownership ($0) = $3,412.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($315).

Total Amount

$3,412

General + Research + Ownership

Payments

145

Total payment records

General Amount

$3,412

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120123000474INephrologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes368101$0
99214Established patient office or other outpatient visit, 30-39 minutes324143$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes19974$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9476$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)8223$0
View full utilization report →

Insurance plans in this area (ZIP 76180)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941296107View full group profile
NameSpecialtyState
N E P H R O L O G YTX
N E P H R O L O G YTX
Nephrology, Internal MedicineTX
N E P H R O L O G YTX
N E P H R O L O G YTX
N E P H R O L O G YTX
Nurse PractitionerTX
Nephrology, Internal MedicineTX
-TX
Nephrology, Internal MedicineTX

Reviews

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Frequently asked questions

What number should I use to identify PRASAD VENKATA KANNAEGANTI (MD) for billing?
Administrative and clinical systems typically use NPI 1114922630 for PRASAD VENKATA KANNAEGANTI (MD).
Quick check: is PRASAD VENKATA KANNAEGANTI (MD) active?
Public NPPES data shows PRASAD VENKATA KANNAEGANTI (MD) with an active NPI status right now.
How should patients interpret PRASAD VENKATA KANNAEGANTI (MD)'s specialty?
The extract shows Other Service Providers for PRASAD VENKATA KANNAEGANTI (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to PRASAD VENKATA KANNAEGANTI (MD)?
PRASAD VENKATA KANNAEGANTI (MD) shows a connection to North Richland Hills, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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