VENUGOPALA S BHEEMANATHINI M.D.
NPI 1053415695
Internal Medicine - Nephrology in Anniston, AL

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
85.52/100
CMS Quality Rating
522 E 11TH ST, SUITE 200, ANNISTON, AL 36207(256) 237-5302(256) 237-5368 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2018, Sep 19, 2016 (2 updates tracked since 2016).

About Venugopala S Bheemanathini M.d. NPPES

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

VENUGOPALA S BHEEMANATHINI M.D. (NPI 1053415695) is an individual nephrology provider in Anniston, Alabama, licensed in Alabama (21587) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1053415695
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameVENUGOPALA S BHEEMANATHINICredential: M.D.
Location Address522 E 11TH ST, SUITE 200Anniston, AL 36207-4770
Mailing Address522 E 11th St, Suite 200Anniston, AL 36207-4770 · (256) 237-5302 · Fax (256) 237-5368
Fax(256) 237-5368
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 12, 2006
Last NPPES UpdateAugust 16, 20182 updates tracked since enumeration
NPI 1053415695 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 · 21587
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.
522 E 11TH ST, Anniston, AL 36207

Other Identifiers 1

Medicaid009974770AL

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

Venugopala S Bheemanathini 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 ID1052302346
PECOS Enrollment IDI20101208000134
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.

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.
480 services148 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
325 services116 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.
252 services75 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
213 services195 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.
182 services49 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.
182 services130 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36207 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.

85.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.76
Promoting Interoperability100
Cost78.77

Reported Quality Measures

Controlling High Blood Pressure
57%442 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
72%329 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,496 patients5/55-star benchmark: 100%
e-Prescribing
100%941 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%668 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%984 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 406 patients
Patients screened: 99% · 406 patients
96%55 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%987 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 689 patients
Patients totalRate: 1% · 689 patients
1%689 patients4/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 6

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
522 E 11TH ST
ANNISTON, AL 36207
Specialist
522 E 11TH ST, 2ND FLOOR
ANNISTON, AL 36207
Specialist
522 E 11TH ST, SUITE 200
ANNISTON, AL 36207
Nurse Practitioner
522 E 11TH ST, SUITE 200
ANNISTON, AL 36207
Nurse Practitioner
522 E 11TH ST, SUITE 200
ANNISTON, AL 36207
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
522 E 11TH ST
ANNISTON, AL 36207

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 Venugopala Bheemanathini's NPI number?

The NPI number for Venugopala Bheemanathini is 1053415695. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Venugopala Bheemanathini located?

Venugopala Bheemanathini practices at 522 E 11th St Suite 200, Anniston, AL 36207. The listed phone number is (256) 237-5302.

What is Venugopala Bheemanathini's specialty?

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

Is Venugopala Bheemanathini enrolled in Medicare?

Yes. Venugopala Bheemanathini 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 Venugopala Bheemanathini accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Venugopala Bheemanathini 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 Venugopala Bheemanathini was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.