Palla Rivi De Silva, M.D.
Pulmonary Disease Internal Medicine
Palla Rivi De Silva is a Pulmonary Disease Internal Medicine specialist based in San Antonio, TX with over 19 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.
Also practices: INTERNAL MEDICINE
Patients across TX can see Palla Rivi De Silva, M.D. in person in San Antonio or via virtual visit — no travel required. He has been in practice for 19+ years. He regularly sees Medicare patients with hypertension, high cholesterol, and ischemic_heart (per CMS claims data).
Recent · 89dNPPES updated 2026-02-24 · verify NPI on CMS · Verify license at Texas Medical Board
How Does This Doctor Compare?
Generic Rx
↑ Higher = better47.1%
Texas avg: 83.8 · US avg: 82.8
⚠ Lower than most doctors nationally(-35.7 pts)
How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.
Medicare Patients
330
Unique beneficiaries
Standard volumePrescription Recipients
74
Patients prescribed
Prescriptions Written
384
Total claims
Total Medicare drug cost: $187k
Percentile rankings compared against 4,889 reporting peers in Texas.
Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.
What This Doctor Treats Most
Based on Medicare claims data — here's what patients commonly see this doctor for
Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Ischemic Heart Disease.
High blood pressure — a leading risk factor for heart disease and stroke
US avg: 70.2%↑ More patients than average (+5%) — a focus area for this doctor
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↑ More patients than average (+5%) — a focus area for this doctor
Reduced blood flow to the heart muscle, commonly known as coronary artery disease
US avg: 31.7%↑ More patients than average (+26%) — a focus area for this doctor
The heart cannot pump blood efficiently enough to meet the body's needs
US avg: 22.5%↑ More patients than average (+27%) — a focus area for this doctor
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%Chronic Obstructive Pulmonary Disease — a group of lung diseases that block airflow
US avg: 20.4%↑ More patients than average (+27%) — a focus area for this doctor
An irregular, often rapid heartbeat that increases the risk of stroke
US avg: 22%↑ More patients than average (+23%) — a focus area for this doctor
A condition where the body cannot properly regulate blood sugar levels
US avg: 34.5%↑ More patients than average (+10%) — a focus area for this doctor
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
$3.5k received from industry
48 transactions reported in 2024 ·Moderate tier
Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.
Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Palla Rivi De Silva's NPI.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
Board certified · Feb 23, 2026
Self-reported via NPPES
19 years in practice
Experienced
Pulmonologists specialize in respiratory conditions including asthma, COPD, pneumonia, pulmonary fibrosis, sleep apnea, and lung cancer screening. They manage patients on ventilators and perform bronchoscopies.
Taxonomy: 207RP1001X
Mailing address
4502 Medical Dr, San Antonio, TX 78229-4402
Differs from practice location
Virtual Pulmonary Disease Care With Palla Rivi De Silva
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with Palla Rivi De Silva for blood pressure monitoring, cholesterol management, follow-up consultations — no travel to San Antonio required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.
Frequently Asked Questions
Common questions about Palla Rivi De Silva
NPI records show Dr. De Silva as active with telehealth listed in San Antonio, TX. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (210) 600-5864.
Sourced from CMS NPPES · OIG LEIE · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.
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Contact Palla Rivi De Silva
Practice Location
127 Lewis St, San Antonio, TX 78212-5539
Mailing Address
4502 Medical Dr, San Antonio, TX 78229-4402
This is a provider directory. Contact the office directly to schedule appointments.
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