SATISH V IDURU (MD) – Gastroenterology Physician, NPI 1417045311

SATISH V IDURU (MD) is a healthcare provider. based in Houston, Texas. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 152373 (MT). The NPI Number for SATISH V IDURU (MD) is 1417045311

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
SATISH V IDURU (MD)
NPI
1417045311
Phone
(713) 694-6066
Address
1900 North Loop W Ste 390
Enumeration Date
10 October 2006
Last Update Date
28 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4067563526
Graduation Year
1999 (27 years ago)
PAC ID
0749287019
Group Practice PAC ID
5294644381
Professional Enrollment ID
I20250410000701
Address ID
MT599013129KA320XXLNXX300

Contacts

Secure Messaging
krmcmedicalrecords@krhdirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,498 GASTROENTEROLOGY in TX

Provider Addresses for SATISH V IDURU (MD)

  • 1900 North Loop W Ste 390

    Houston, TX 770188148

    Phone: (713) 694-6066

    Fax: (713) 694-6067

    Type: Location

  • 320 Sunnyview Ln

    Kalispell, MT 599013129

    Phone: (406) 752-7441

    Fax: (406) 257-0304

    Type: Location

  • 4201 GARTH RD STE 309

    BAYTOWN, TX 775213156

    Phone: (281) 671-5960

    Fax: (281) 970-6639

    Type: Location

  • North Loop West, Independence Heights, Houston, Harris County, Texas, 77246, United States of America

    HOUSTON, TX 770188148

    Phone: (713) 694-6066

    Fax: (713) 694-6067

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 82 Open Payments records for all available years, with a total value of $1,952.

Total Amount is formed as General ($1,952) + Research ($0) + Ownership ($0) = $1,952.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Ardelyx, Inc. ($267).

Total Amount

$1,952

General + Research + Ownership

Payments

82

Total payment records

General Amount

$1,952

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

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: 2025-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100903000131IGastroenterologyTXTBD
I20250410000701IGastroenterologyMTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes205139$0
88305Pathology examination of tissue using a microscope, intermediate complexity10853$0
99213Established patient office or other outpatient visit, 20-29 minutes10490$0
99203New patient office or other outpatient visit, 30-44 minutes7979$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6158$0
View full utilization report →

Insurance plans in this area (ZIP 77018)

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Provider's Procedures

SATISH V IDURU (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYTX43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope2525
GASTROENTEROLOGYTX45378Diagnostic examination of large bowel using an endoscope7069
GASTROENTEROLOGYTX45385Removal of polyps or growths of large bowel using an endoscope1818

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: 5294644381View full group profile
NameSpecialtyState
Nurse PractitionerTX
Infectious Disease, Internal MedicineMT
-MT
Physician AssistantMT
-MT
Physician AssistantMT
Internal MedicineMT
Family PracticeMT
Diagnostic RadiologyCA
Colorectal Surgery (Proctology)MT

Reviews

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Frequently asked questions

Where can patients find SATISH V IDURU (MD)'s NPI?
You can confirm SATISH V IDURU (MD) with NPI 1417045311; it appears in the national provider directory.
Is SATISH V IDURU (MD) active in the national directory?
SATISH V IDURU (MD)'s public NPI profile is in an active state.
What kind of provider is SATISH V IDURU (MD)?
The page reflects Gastroenterology Physician for SATISH V IDURU (MD). Clinical services aligned with this taxonomy classification.
Where does public data place SATISH V IDURU (MD)?
The snapshot lists Houston, Texas for SATISH V IDURU (MD); download NPPES for the complete set.
What if Houston, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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