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RATHNAMITREYEE VEGUNTA MD
NPI 1043872666
Internal Medicine - Hematology & Oncology in Eau Claire, WI

Active since July 03, 2019PECOS EnrolledAccepts Medicare Assignment
2200 CRAIG RD, EAU CLAIRE, WI 54701(715) 858-6767 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 10, 2025, Jul 3, 2019 (2 updates tracked since 2019).

About Rathnamitreyee Vegunta Md NPPES

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

RATHNAMITREYEE VEGUNTA MD (NPI 1043872666) is an individual hematology & oncology provider in Eau Claire, Wisconsin, licensed in Wisconsin (8502420) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1043872666
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameRATHNAMITREYEE VEGUNTACredential: MD
Location Address2200 CRAIG RDEau Claire, WI 54701-2699
Mailing Address2200 Craig RdEau Claire, WI 54701-2699 · (715) 858-6767
Phone(715) 858-6767
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 3, 2019
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1043872666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in WI · 8502420
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2200 CRAIG RD, Eau Claire, WI 54701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rathnamitreyee Vegunta Md 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 ID5496256240
PECOS Enrollment IDI20250902003326
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Rathnamitreyee Vegunta reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mchs Hospitals Inc
0.1 mi
Clinic/Center
2310 CRAIG RD
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
NPI 1316416035 (715) 858-8100
Lakeview Medical Center Inc Of Rice Lake
37 mi
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
NPI 1659008605 (715) 924-2000
Memorial Hospital Inc
47 mi
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,440 clinicians in this Medicare group
NPI 1033701800 (715) 743-3101
Marshfield Clinic Inc
66 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Flambeau Hospital Inc
94 mi
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
NPI 1194317966 (715) 762-2484
Beaver Dam Community Hosptials Inc
159 mi
Family Medicine
1580 W JAMES ST
Columbus, WI 53925
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Beaver Dam Community Hospitals Inc.
  • 1,447 clinicians in this Medicare group
NPI 1275833659 (920) 350-0235

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520210
Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 12

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

SHERRI TOELKE RN
Registered Nurse (Oncology)
2200 CRAIG RD
EAU CLAIRE, WI 54701
Eau Claire County (715) 858-6880
DR. MICHAEL JOSEPH FALLON MD
Radiology (Radiation Oncology)
2200 CRAIG RD
EAU CLAIRE, WI 54701
Eau Claire County (715) 858-8100
ATIF NIAZ KHAN M.D
Internal Medicine (Hematology & Oncology)
2200 CRAIG RD
EAU CLAIRE, WI 54701
Eau Claire County (715) 858-6767
ANNA JANE SMUGALA APNP
Nurse Practitioner (Gerontology)
2200 CRAIG RD
EAU CLAIRE, WI 54701
Eau Claire County (715) 858-6767
MCHS HOSPITALS INC
Durable Medical Equipment & Medical Supplies
2200 CRAIG RD
EAU CLAIRE, WI 54701
Eau Claire County (715) 858-6767
SYED MUHAMMED BILAL H NAQVI MD
Internal Medicine (Hematology & Oncology)
2200 CRAIG RD
EAU CLAIRE, WI 54701
Eau Claire County (715) 858-6767
DANIELLE MARIE DAHLBERG APNP
Nurse Practitioner
2200 CRAIG RD
EAU CLAIRE, WI 54701
Eau Claire County (715) 858-6767
WILLIAM PARSONS
Nurse Practitioner
2200 CRAIG RD
EAU CLAIRE, WI 54701
Eau Claire County (715) 559-5007

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 Rathnamitreyee Vegunta's NPI number?

The NPI number for Rathnamitreyee Vegunta is 1043872666. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Rathnamitreyee Vegunta located?

Rathnamitreyee Vegunta practices at 2200 Craig Rd, Eau Claire, WI 54701. The listed phone number is (715) 858-6767.

What is Rathnamitreyee Vegunta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Rathnamitreyee Vegunta enrolled in Medicare?

Yes. Rathnamitreyee Vegunta 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.

Which organizations bill Medicare for Rathnamitreyee Vegunta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rathnamitreyee Vegunta reassigns Medicare benefits to 6 organizations: Mchs Hospitals Inc (Eau Claire, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI), Memorial Hospital Inc (Neillsville, WI), Marshfield Clinic Inc (Marshfield, WI), Flambeau Hospital Inc (Park Falls, WI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rathnamitreyee Vegunta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rathnamitreyee Vegunta accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Rathnamitreyee Vegunta 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 Rathnamitreyee Vegunta affiliated with any hospitals?

According to CMS data, Rathnamitreyee Vegunta is affiliated with Marshfield Medical Center and Marshfield Medical Center - Eau Claire.

When was this NPI record last updated?

The NPPES record for Rathnamitreyee Vegunta was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.