Varalaxmi Sreeram, MD
NPI 1881003010ActiveIndividual· Internal Medicine, Rheumatology· Longview, TX
Internal Medicine, Rheumatology (MD) with Christus Trinity Clinic Texas and 1 other group, practicing in Longview, Texas. Their prescriptions cost Medicare Part D more than their services did: $170,064 for 180 claims, against $9,314 paid for services in 2024. Amgen Inc. was the largest of 2 companies reporting payments in 2025, $49.54 in all, mostly food and beverage. Lists Christus Good Shepherd Medical Center as a hospital affiliation.
Overview
| NPI | 1881003010 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 13, 2014 |
| Last updated in NPPES | Dec 30, 2024 |
| Certified by provider | Dec 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Rheumatology Primary | 207RR0500X | R3222 | TX |
| Internal Medicine | 207R00000X | BP10050129 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 124 across 10 procedure codes |
| Paid by Medicare | $9,314 |
Part D prescriptions in 2024
| Prescriptions (claims) | 180 · 302 30-day fills |
|---|---|
| Patients | 59 |
| Total drug cost | $170,064 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Rheumatology |
Medical groups
- Christus Trinity Clinic TexasTyler, TX · 1,540 clinicians
- North Texas Physician Services, PLLCLongview, TX · 238 clinicians
Hospital affiliation
- Christus Good Shepherd Medical CenterLongview, TX
Industry payments (Open Payments)
- 2025$49.54 · 3 payments from 2 companies
- 2024$14.39 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $29.81 | 2 |
| Abbvie Inc. | $19.73 | 1 |
What the 2025 payments were for
- Food and Beverage$49.54 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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