DR. VENKAT R NIMMAGADDA M.D.
NPI 1043267917
Internal Medicine - Nephrology in Dothan, AL

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
87.15/100
CMS Quality Rating
207 HAVEN DR, DOTHAN, AL 36301(334) 793-3319(334) 793-2291 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Venkat R Nimmagadda M.d. NPPES

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

DR. VENKAT R NIMMAGADDA M.D. (NPI 1043267917) is an individual nephrology provider in Dothan, Alabama, licensed in Alabama (27452) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1043267917
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. VENKAT R NIMMAGADDACredential: M.D.
Location Address207 HAVEN DRDothan, AL 36301-2919
Mailing Address207 Haven DrDothan, AL 36301-2919
Fax(334) 793-2291
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 27, 2006
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
NPI 1043267917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in AL · 27452
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

207 HAVEN DR, Dothan, AL 36301

Other Identifiers 2

Other51538580AL · Bcbs Alabama
Other051557983AL · Id

Accepted 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. Venkat R Nimmagadda 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 ID3779580147
PECOS Enrollment IDI20061026000563
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 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
766 services201 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
276 services199 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
274 services71 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
215 services167 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.
145 services124 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
109 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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.

87.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality45.98
Promoting Interoperability91
Improvement Activities40
Cost92.01

Reported Quality Measures

Controlling High Blood Pressure
52%651 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
99%275 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
85%1,192 patients4/55-star benchmark: 100%
e-Prescribing
85%1,441 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
14%875 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 14% · 243 patients
11%243 patients
Provide Patients Electronic Access to Their Health Information
92%525 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%437 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers11 claims11 services$11.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

Psychiatry & Neurology (Psychiatry)
207 HAVEN DR
DOTHAN, AL 36301
Internal Medicine (Nephrology)
207 HAVEN DR
DOTHAN, AL 36301
Specialist
207 HAVEN DR
DOTHAN, AL 36301
Registered Nurse
207 HAVEN DR
DOTHAN, AL 36301
Internal Medicine (Nephrology)
207 HAVEN DR
DOTHAN, AL 36301
Social Worker (Clinical)
207 HAVEN DR
DOTHAN, AL 36301
Registered Nurse (Psychiatric/Mental Health)
207 HAVEN DR
DOTHAN, AL 36301
Registered Nurse (Psychiatric/Mental Health)
207 HAVEN DR
DOTHAN, AL 36301

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 Venkat Nimmagadda's NPI number?

The NPI number for Venkat Nimmagadda is 1043267917. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Venkat Nimmagadda located?

Venkat Nimmagadda practices at 207 Haven Dr, Dothan, AL 36301. The listed phone number is (334) 793-3319.

What is Venkat Nimmagadda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Venkat Nimmagadda enrolled in Medicare?

Yes. Venkat Nimmagadda 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 Venkat Nimmagadda accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Venkat Nimmagadda 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.

When was this NPI record last updated?

The NPPES record for Venkat Nimmagadda was last updated on April 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.