DR. PAVAN DEVULAPALLY (MD) – Nephrology Physician, NPI 1306085477

DR. PAVAN DEVULAPALLY (MD) is a healthcare provider. based in Hondo, Texas. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. P9550 (TX). The NPI Number for DR. PAVAN DEVULAPALLY (MD) is 1306085477

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAVAN DEVULAPALLY (MD)
NPI
1306085477
Phone
(210) 614-7900
Address
205 22nd St
Enumeration Date
13 February 2009
Last Update Date
29 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106147900
Graduation Year
2000 (26 years ago)
PAC ID
7810165479
Group Practice PAC ID
5294709689
Professional Enrollment ID
I20140722000629
Address ID
TX780523547LY19910SXXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,168 NEPHROLOGY in TX

Provider Addresses for DR. PAVAN DEVULAPALLY (MD)

  • 205 22nd St

    Hondo, TX 788612520

    Phone: (210) 614-7900

    Fax: (210) 615-1211

    Type: Location

  • PO BOX 504152

    SAINT LOUIS, MO 631504152

    Phone: (210) 212-8622

    Fax: (210) 212-9197

    Type: Mailing

  • 19910 Interstate 35 S Ste 102

    Lytle, TX 780523547

    Phone: (210) 614-7900

    Fax: (210) 615-1211

    Type: Location

  • 4511, Northwest Loop 410, San Antonio, Bexar County, Texas, 78229, United States

    SUITE 104

    SAN ANTONIO, TX 782295124

    Phone: (210) 614-7900

    Fax: (210) 615-1211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $803.

Total Amount is formed as General ($803) + Research ($0) + Ownership ($0) = $803.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: OPKO Pharmaceuticals, LLC ($259).

Total Amount

$803

General + Research + Ownership

Payments

15

Total payment records

General Amount

$803

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2014-07-22

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
I20140722000629INephrologyTXTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,108362$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes664229$0
99214Established patient office or other outpatient visit, 30-39 minutes480234$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)35857$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes221213$0
View full utilization report →

Insurance plans in this area (ZIP 78861)

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Provider's Procedures

DR. PAVAN DEVULAPALLY (MD) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYTX90935Hemodialysis procedure with one physician evaluation21196
NEPHROLOGYTX90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older4723

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: 5294709689View full group profile
NameSpecialtyState
Nephrology, Internal MedicineMO
Physician AssistantTX
Nephrology, Internal MedicineTX
Nurse PractitionerFL
Nephrology, Internal MedicineMO
Nephrology, Internal MedicineTX
N E P H R O L O G YTX
Nephrology, Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX

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Frequently asked questions

What federal number belongs to DR. PAVAN DEVULAPALLY (MD)?
The federal identifier for DR. PAVAN DEVULAPALLY (MD) is NPI 1306085477.
Is DR. PAVAN DEVULAPALLY (MD)'s NPI currently valid?
The extract we use shows DR. PAVAN DEVULAPALLY (MD) as active.
What field does DR. PAVAN DEVULAPALLY (MD) work in?
You can think of DR. PAVAN DEVULAPALLY (MD) as practicing within Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. PAVAN DEVULAPALLY (MD)?
We surface Hondo, Texas for DR. PAVAN DEVULAPALLY (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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