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DR. HIMACHALA R. VELIGANDLA M.D.
NPI 1023065927
Internal Medicine - Cardiovascular Disease in Prestonsburg, KY

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
5000 KY ROUTE 321, PRESTONSBURG, KY 41653(606) 889-6210(606) 889-6291 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2023, Apr 17, 2019 (2 updates tracked since 2019).

About Dr. Himachala R. Veligandla M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HIMACHALA R. VELIGANDLA M.D. (NPI 1023065927) is an individual cardiovascular disease provider in Prestonsburg, Kentucky, licensed in Florida (ME104390) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1023065927
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. HIMACHALA R. VELIGANDLACredential: M.D.
Location Address5000 KY ROUTE 321Prestonsburg, KY 41653-9113
Mailing Address308 W Highland BlvdInverness, FL 34452-4716 · (352) 726-8353 · Fax (352) 726-5038
Phone(606) 889-6210
Fax(606) 889-6291
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMay 27, 2006
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1023065927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME104390
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5000 KY ROUTE 321, Prestonsburg, KY 41653
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Himachala R. Veligandla M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668461047
PECOS Enrollment IDI20060925000574, I20190409002367
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
190 services183 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services61 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
59 services53 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
43 services43 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
42 services42 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
40 services40 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIGHLANDS REGIONAL MEDICAL CENTER
Skilled Nursing Facility
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 886-8511
MRS. FRANCESCA PASCUA SMITH CRNA, DNAP
Nurse Anesthetist, Certified Registered
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 886-8511
ARH TUG VALLEY HEALTH SERVICES, INC.
General Acute Care Hospital
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 886-8511
ARH TUG VALLEY HEALTH SERVICES, INC.
Psychiatric Unit
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 886-8511
AMANDA CONN
Physical Therapy Assistant
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 886-7598
HIGHLANDS HOSPITAL CORP
Family Medicine
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 886-7600
PHILIP N ZAMBOS MD
Radiology (Diagnostic Radiology)
5000 KY ROUTE 321, HIGHLAND REGIONAL MEDICAL CENTER RADIOLOGY DEPT
PRESTONSBURG, KY 41653
Floyd County (606) 836-4929
JAYME LYNN RICE
Nurse Practitioner (Family)
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 886-8511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Himachala Veligandla's NPI number?

The NPI number for Himachala Veligandla is 1023065927. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Himachala Veligandla located?

Himachala Veligandla practices at 5000 Ky Route 321, Prestonsburg, KY 41653. The listed phone number is (606) 889-6210.

What is Himachala Veligandla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Himachala Veligandla enrolled in Medicare?

Yes. Himachala Veligandla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Himachala Veligandla accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Himachala Veligandla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Himachala Veligandla affiliated with any hospitals?

According to CMS data, Himachala Veligandla is affiliated with Middlesboro Arh Hospital.

When was this NPI record last updated?

The NPPES record for Himachala Veligandla was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.