DR. PRASHANTH REDDY PALWAI (MD) – Rheumatology Physician, NPI 1225071855

DR. PRASHANTH REDDY PALWAI (MD) is a healthcare provider. based in The woodlands, Texas. specializing in RHEUMATOLOGY. They hold the professional credentials MD. They hold a License No. L 9414 (TX). The NPI Number for DR. PRASHANTH REDDY PALWAI (MD) is 1225071855

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRASHANTH REDDY PALWAI (MD)
NPI
1225071855
Phone
(281) 319-4700
Address
PO BOX 8455
Enumeration Date
13 June 2006
Last Update Date
28 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813194700
Graduation Year
1993 (33 years ago)
PAC ID
2163489824
Group Practice PAC ID
7911915814
Professional Enrollment ID
I20041214000639
Address ID
TX773393773KI19701DRXX310
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

503 RHEUMATOLOGY in TX

Loading map...

Provider Addresses for DR. PRASHANTH REDDY PALWAI (MD)

  • The Woodlands Post Office, Pinecroft Drive, Town Center, The Woodlands, Montgomery County, Texas, 77380, United States

    THE WOODLANDS, TX 773878455

    Phone: (281) 319-4700

    Type: Mailing

  • Daniel Bray Highway, Raven Rock, Delaware Township, Hunterdon County, New Jersey, 08559, United States

    SUITE 230

    KINGWOOD, TX 773394412

    Phone: (281) 319-4700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $490.

Total Amount is formed as General ($490) + Research ($0) + Ownership ($0) = $490.

Last reported payment date: 2024-01-25 • Largest payer in this snapshot: ABBVIE INC. ($207).

Total Amount

$490

General + Research + Ownership

Payments

9

Total payment records

General Amount

$490

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-12-14

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
I20041214000639IRheumatologyTXTBD

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
J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)90,40032$0
J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)9,37520$0
J1745Injection, infliximab, excludes biosimilar, 10 mg3,46012$0
96372Injection of drug or substance under skin or into muscle47241$0
J7050Infusion, normal saline solution, 250 cc40237$0
View full utilization report →

Insurance plans in this area (ZIP 77387)

Loading plans...

Provider's Procedures

DR. PRASHANTH REDDY PALWAI (MD) performs procedures in RHEUMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RHEUMATOLOGYTX96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention2415
RHEUMATOLOGYTX96415Infusion of chemotherapy into a vein13524

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: 7911915814View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Rheumatology, Internal MedicineTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DR. PRASHANTH REDDY PALWAI (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. PRASHANTH REDDY PALWAI (MD) uses 1225071855.
Is DR. PRASHANTH REDDY PALWAI (MD) listed as active for patients and plans?
The listing shows DR. PRASHANTH REDDY PALWAI (MD) as active in the NPI system.
What healthcare role does DR. PRASHANTH REDDY PALWAI (MD) hold?
Scheduling teams often label DR. PRASHANTH REDDY PALWAI (MD) under Rheumatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. PRASHANTH REDDY PALWAI (MD)?
DR. PRASHANTH REDDY PALWAI (MD)'s geographic hint is The Woodlands, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

Millennium Oncology

Multi-Specialty Clinic/Center
PO BOX 840900
NPI: 1255397733

OLUYEMISI AWOBOKUN (MD)

Rheumatology Physician
17201 I H 45 S
NPI: 1851348973

RANDALL WILLIAM JOHNSON (MD)

Rheumatology Physician
Pinecroft Drive, Town Center, The Woodlands, Montgomery County, Texas, 77380, United States
NPI: 1295821577

FRANK ALEXANDER PARKE (MD)

Rheumatology Physician
9323 PINECROFT DR
NPI: 1316035264
2015 2ND AVE STE 204
NPI: 1073690731

DR. TAMAR F BRIONEZ (MD)

Rheumatology Physician
6707 STERLING RIDGE DR STE C
NPI: 1457407041
17191 St Lukes Way
NPI: 1447496047

ARIF SHAHZAD (M.D.)

Rheumatology Physician
320 KINGWOOD EXECUTIVE DR STE D
NPI: 1750523692