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Dr. Vijayaprakash Sreenarasimhaiah, MD

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Specializes in: Adult Nephrology

University of Missouri-Kansas City School of Medicine (1996)

Professional interests include: angioplasty, angiogram (angiography), renal (kidney) biopsy, and more.

1331 West Grand Parkway North Suite 320
Katy, TX 77493

(713) 468-5440

Dr. Vijayaprakash Sreenarasimhaiah, MD is a nephrologist in Katy, TX specializing in adult nephrology. He graduated from University of Missouri-Kansas City School of Medicine in 1996 and has 28 years of experience. Dr. Vijayaprakash Sreenarasimhaiah, MD is affiliated with HCA Houston Healthcare, Houston Methodist, Memorial Hermann, HOUSTON NEPHROLOGY GROUP, P.A. and HCA Houston Healthcare North Cypress.

Office Locations

Address:

1331 West Grand Parkway North Suite 320
Katy, TX 77493

Address:

21216 Northwest Freeway Suite 410
Cypress, TX 77429

Address:

915 Gessner Road Suite 360
Houston, TX 77024

Some issues Dr. Vijayaprakash Sreenarasimhaiah, MD can help you with:

Angiogram (Angiography)

Angiography is the use of x-rays to examine blood vessels, especially in order to identify any blocked or misshapen vessels that may cause problems. The test itself is called an angiogram. Some of the disorders that angiograms can be used to diagnose include:

Blockages and narrowing
Weakened walls and bulging, called an aneurysm
Malformations and misshapen blood vessels
Kidney artery conditions
Aorta artery conditions
Vein problems, including deep vein thrombosis (DVT) and blood clots or embolisms

During an angiogram, the doctor inserts a very thin, flexible tube called a catheter into a blood vessel through an opening in the groin or arm. The catheter is threaded through the body to the site of the suspected problem, where a small amount of dye is injected into the bloodstream and x-rays are taken. The dye makes the surrounding blood vessels visible via x-ray.

If necessary, certain procedures can be performed after an angiogram while the catheter is in place. Angioplasty is the use of a catheter to widen narrowed or blocked arteries. Stents are like tiny coiled springs that hold blood vessels open, and they can be placed during a catheterization. Damaged heart valves can also be repaired or replaced.

A typical angiogram takes about an hour to perform, but it may be longer if the catheterization is used to perform procedures on the blood vessels. It may be uncomfortable at times but is usually not painful. Afterwards, patients may be monitored for up to six hours to make sure any bleeding from the insertion site has stopped. They are given fluids to help flush the dye from their body. For a day or two after an angiogram it is important for patients to drink plenty of fluids and keep strenuous activity to a minimum.

Angioplasty

Angioplasty is a common, minimally invasive procedure performed to restore blood flow in arteries and veins that have become narrowed or blocked. Age or illness can cause plaque to build up at certain spots within the veins and arteries, and if enough collects, it can restrict the flow of blood. Angioplasty uses a tiny balloon at the end of a small, flexible tube to inflate within the narrowed section and open it up again.

Angioplasty may be performed in several different areas of the body and for a variety of reasons, most often:

Peripheral arterial disease, which reduces blood flow in the arms or legs
Atherosclerosis, or general hardening of the arteries
Carotid artery stenosis, or narrowing of the arteries in the neck that supply the brain
Coronary artery disease, or narrowing of the arteries near the heart
Renal vascular hypertension, or narrowing of the arteries in the kidney, leading to increased blood pressure

During angioplasty, a patient is given a sedative while lying on a table under an x-ray machine. A catheter (a thin, flexible, and hollow tube) is inserted into the patient's skin in the arm or groin and guided into the blocked artery. Dye is injected via the catheter, and x-rays are used to position the tip of the catheter exactly at the blockage. The tiny balloon is guided through the catheter and inflated with saline. It pushes the plaque out of the way, squishing it against the walls of the artery. The balloon may be inflated and deflated several times to let blood pass by. A stent, a tiny tube of metal mesh like a spring, may be inserted to help keep the artery open. Then the x-ray is used again to check that blood is flowing properly, the catheter is removed, and the tiny incision is bandaged.

There are no nerves within veins and arteries, so an angioplasty is generally not painful. However, there may be some discomfort at the site of the incision and when the balloon is inflated. Overall, angioplasty is a very effective and low-risk procedure, useful for helping patients avoid more difficult bypass surgery.

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

Type 1 and 2 Diabetes
Pyelonephritis, recurring kidney infection
Glomerulonephritis, inflammation of the kidney's filtering parts
Polycystic kidney disease
Interstitial nephritis, inflammation of the kidney's tubules
High blood pressure
Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

angioplasty	204
catheterization	75
device removal	69
dialysis	35
dialysis access procedures	290
doctor visit	360
hospital care	2061
inpatient care	2063
minimally invasive procedures	64
thrombectomy (blood clot removal)	65
vascular procedures	379
X-rays	226

**Gender**
Male	405
Female	416

**Ethnicity**
Non-Hispanic White	421
Black	201
Hispanic	149
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	228
From 75 to 84	215
85 and over	118
Less than 65	260

Hypertension	75
High Cholesterol	66
Stroke	15
Ischemic Heart Disease	66
Depression	29
Chronic Kidney Disease	75
Asthma	13
Osteoperosis	9
Atrial Fibrilation	21
Heart Failure	58
Chronic Obstructive Pulmonary Disease	28
Diabetes	65
Dementia	24
Cancer	12

angioplasty	164
catheterization	91
device removal	62
dialysis	11
dialysis access procedures	272
doctor visit	467
hospital care	2147
inpatient care	2149
minimally invasive procedures	73
stent placement (stenting)	11
thrombectomy (blood clot removal)	62
vascular procedures	341
X-rays	211

**Gender**
Male	381
Female	352

**Ethnicity**
Non-Hispanic White	377
Black	172
Hispanic	132
Asian	40
Other	0
Native American	0

**Age**
From 65 to 74	213
From 75 to 84	189
85 and over	113
Less than 65	218

Hypertension	75
High Cholesterol	68
Stroke	16
Ischemic Heart Disease	61
Depression	26
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	9
Atrial Fibrilation	20
Heart Failure	58
Chronic Obstructive Pulmonary Disease	26
Diabetes	64
Dementia	21
Cancer	12

abdominal imaging	11
angioplasty	162
catheterization	90
device removal	48
dialysis	13
dialysis access procedures	255
doctor visit	508
hospital care	2052
inpatient care	2054
minimally invasive procedures	73
thrombectomy (blood clot removal)	74
ultrasound (sonogram)	10
vascular procedures	342
X-rays	182

**Gender**
Male	804
Female	734

**Ethnicity**
Non-Hispanic White	814
Black	352
Hispanic	262
Asian	88
Other	0
Native American	0

**Age**
From 65 to 74	458
From 75 to 84	400
85 and over	246
Less than 65	434

Hypertension	75
High Cholesterol	69
Stroke	14
Ischemic Heart Disease	66
Depression	28
Chronic Kidney Disease	75
Asthma	17
Osteoperosis	8
Atrial Fibrilation	24
Heart Failure	62
Chronic Obstructive Pulmonary Disease	26
Diabetes	63
Dementia	25
Cancer	11

abdominal imaging	41
angioplasty	138
catheterization	77
device removal	36
dialysis	24
dialysis access procedures	208
doctor visit	480
hospital care	1652
inpatient care	1654
minimally invasive procedures	38
thrombectomy (blood clot removal)	39
ultrasound (sonogram)	55
vascular procedures	285
X-rays	170

**Gender**
Male	320
Female	305

**Ethnicity**
Non-Hispanic White	327
Black	144
Hispanic	119
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	196
From 75 to 84	164
85 and over	85
Less than 65	180

Hypertension	75
High Cholesterol	73
Stroke	16
Ischemic Heart Disease	69
Depression	29
Chronic Kidney Disease	75
Asthma	28
Osteoperosis	6
Atrial Fibrilation	20
Heart Failure	59
Chronic Obstructive Pulmonary Disease	27
Diabetes	67
Dementia	26
Cancer	10

abdominal imaging	38
catheterization	42
device removal	32
dialysis	19
doctor visit	429
hospital care	1367
inpatient care	1369
ultrasound (sonogram)	53
vascular procedures	49

**Gender**
Male	309
Female	284

**Ethnicity**
Non-Hispanic White	316
Black	140
Hispanic	100
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	172
From 75 to 84	175
85 and over	86
Less than 65	160

Hypertension	75
High Cholesterol	70
Stroke	15
Ischemic Heart Disease	68
Depression	28
Chronic Kidney Disease	75
Asthma	6
Osteoperosis	8
Atrial Fibrilation	23
Heart Failure	62
Chronic Obstructive Pulmonary Disease	25
Diabetes	66
Dementia	27
Cancer	12

abdominal imaging	60
catheterization	64
device removal	41
dialysis	24
doctor visit	463
hospital care	1222
inpatient care	1224
ultrasound (sonogram)	59
vascular procedures	39

**Gender**
Male	336
Female	279

**Ethnicity**
Non-Hispanic White	330
Black	129
Hispanic	115
Asian	30
Other	0
Native American	0

**Age**
From 65 to 74	184
From 75 to 84	154
85 and over	101
Less than 65	176

Hypertension	75
High Cholesterol	75
Stroke	15
Ischemic Heart Disease	68
Depression	30
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	8
Atrial Fibrilation	21
Heart Failure	61
Chronic Obstructive Pulmonary Disease	25
Diabetes	66
Dementia	25
Cancer	10

abdominal imaging	60
anastomosis	21
catheterization	63
device removal	27
dialysis	19
dialysis access procedures	19
doctor visit	505
hospital care	1934
inpatient care	1936
ultrasound (sonogram)	59
vascular procedures	33

**Gender**
Male	358
Female	302

**Ethnicity**
Non-Hispanic White	339
Black	140
Hispanic	130
Asian	37
Other	0
Native American	0

**Age**
From 65 to 74	203
From 75 to 84	186
85 and over	105
Less than 65	166

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	64
Depression	25
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	9
Atrial Fibrilation	23
Heart Failure	57
Chronic Obstructive Pulmonary Disease	24
Diabetes	64
Dementia	23
Cancer	14

abdominal imaging	25
anastomosis	16
catheterization	116
device removal	16
dialysis	39
dialysis access procedures	14
doctor visit	545
hospital care	2193
inpatient care	2134
outpatient care	27
ultrasound (sonogram)	24
vascular procedures	28

**Ethnicity**
Non-Hispanic White	319
Black	101
Hispanic	108
Asian	32
Other	12
Native American	0

**Age**
From 65 to 74	184
From 75 to 84	156
85 and over	93
Less than 65	139

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	65
Depression	30
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	9
Atrial Fibrilation	21
Heart Failure	54
Chronic Obstructive Pulmonary Disease	21
Diabetes	62
Dementia	27
Cancer	13

abdominal imaging	124
catheterization	66
device removal	33
dialysis	26
doctor visit	1085
hospital care	2494
inpatient care	2482
outpatient care	13
pelvic imaging	46
ultrasound (sonogram)	123
vascular procedures	87

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Vijayaprakash Sreenarasimhaiah, MD for Medicare patients.

The highest averages for the top procedures that Dr. Vijayaprakash Sreenarasimhaiah, MD treated as a nephrologist in Katy, TX were hospital care, inpatient care, X-rays and vascular procedures.

abdominal imaging	52
anastomosis	18
angioplasty	167
catheterization	77
device removal	40
dialysis	23
dialysis access procedures	177
doctor visit	541
hospital care	1904
inpatient care	1896
minimally invasive procedures	62
outpatient care	20
pelvic imaging	46
stent placement (stenting)	11
thrombectomy (blood clot removal)	60
ultrasound (sonogram)	56
vascular procedures	180
X-rays	197

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Vijayaprakash Sreenarasimhaiah, MD.

**Gender**
Male	323
Female	292

**Ethnicity**
Black / African American	137
Asian / Pacific Islander	22
Non-Hispanic White	324
Native American / Alaskan Native	0
Hispanic	111
Other	1

**Age**
75 to 84	163
85 and over	94
Less than 65	173
65 to 74	183

Average of Total of Conditions of Medicare patients treated by Dr. Vijayaprakash Sreenarasimhaiah, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Vijayaprakash Sreenarasimhaiah, MD treated were chronic kidney disease, hypertension, high cholesterol and diabetes.

Hypertension	60
High Cholesterol	57
Stroke	11
Ischemic Heart Disease	52
Depression	22
Chronic Kidney Disease	60
Asthma	9
Osteoporosis	6
Heart Failure	47
Chronic Obstructive Pulmonary Disease	20
Diabetes	51
Atrial Fibrillation	17
Cancer	9
Dementia	19

Education & Training

Dr. Vijayaprakash Sreenarasimhaiah, MD graduated from University of Missouri-Kansas City School of Medicine in 1996. He completed residency at University of Missouri-Kansas City (UMKC) Affiliated Hospitals. He has a state license in Texas.

Medical School: University of Missouri-Kansas City School of Medicine (1996)

Residency: University of Missouri-Kansas City (UMKC) Affiliated Hospitals

Licensed In: Texas

Affiliations & Hospitals

Dr. Vijayaprakash Sreenarasimhaiah, MD is associated with these hospitals and organizations:

HCA Houston Healthcare

Houston Methodist

Memorial Hermann

HOUSTON NEPHROLOGY GROUP, P.A.

HCA Houston Healthcare North Cypress

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Vijayaprakash Sreenarasimhaiah, MD appears to accept the following insurance providers: Aetna Medicare, Medicare Advantage, Amerigroup, United Healthcare, Aetna, Cigna, BlueCross BlueShield of Texas, Molina Healthcare, Amerigroup Star Plus, Amerigroup Star, Community Health Choice Star, HMO Blue Texas, Memorial Hermann Advantage HMO, Memorial Hermann Solutions, Community Health Choice Marketplace QHP, Community Health Choice Chip, Amerivantage and Memorial Hermann Advantage PPO.

Insurance Accepted by Provider includes:

According to our sources, Dr. Vijayaprakash Sreenarasimhaiah, MD accepts the following insurance providers:

Aetna Medicare

Medicare Advantage

Amerigroup

United Healthcare

Aetna

Cigna

BlueCross BlueShield of Texas

Molina Healthcare

Amerigroup Star Plus

Amerigroup Star

Community Health Choice Star

HMO Blue Texas

Memorial Hermann Advantage HMO

Memorial Hermann Solutions

Community Health Choice Marketplace QHP

Community Health Choice Chip

Amerivantage

Memorial Hermann Advantage PPO

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General Payments

These charts describe general payments received by Dr. Vijayaprakash Sreenarasimhaiah, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Relypsa, Inc.	$329 VELTASSA $329
Amgen Inc.	$265 Parsabiv $150	Sensipar $115
Mallinckrodt Hospital Products Inc.	$215 ACTHAR $215
Horizon Therapeutics plc	$180 KRYSTEXXA $180
Mallinckrodt Enterprises LLC	$95 ACTHAR $95
Other	$474 BENLYSTA $49	JYNARQUE $42	ACTHAR $42	PURIFIED CORTROPHIN GEL $38	Rituxan $33	Other $269

**Types of Payments**
Food and Beverage	$1,450
Education	$108

Biography

Dr. Vijayaprakash Sreenarasimhaiah sees patients in Houston, TX. His medical specialty is adult nephrology. Dr. Sreenarasimhaiah is a graduate of the University of Missouri-Kansas City School of Medicine. His hospital/clinic affiliations include Houston Methodist, Memorial Hermann, and HCA Houston Healthcare.