GEETHA D VALLABHANENI MD
NPI 1104036524
Internal Medicine - Hematology in Concord, NC

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
100 MEDICAL PARK DR, STE 110, CONCORD, NC 28025(704) 403-1370 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 50 more (53 updates tracked since 2016).

About Geetha D Vallabhaneni Md NPPES

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

GEETHA D VALLABHANENI MD (NPI 1104036524) is an individual hematology provider in Concord, North Carolina, licensed in North Carolina (2014-02235) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains a secondary practice location in Albemarle.

NPPES Registry Identity

NPI1104036524
Entity TypeIndividualFemale
Primary Taxonomy207RH0000X
Provider Legal NameGEETHA D VALLABHANENICredential: MD
Location Address100 MEDICAL PARK DR, STE 110Concord, NC 28025-2948
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 15, 202453 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
NPI 1104036524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in NC · 2014-02235
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 2014-02235 (NC)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 2014-02235 (NC)
100 MEDICAL PARK DR, Concord, NC 28025

Secondary Practice Location 1

Location 1945 N 5th StAlbemarle, NC 28001-3417 · Phone (980) 323-7790

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

Geetha D Vallabhaneni 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 ID7315011160
PECOS Enrollment IDI20150720000492
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 3

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.

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.
242 services115 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier25 claims2,002 services$0.65 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier15 claims15 services$19.10 avg. paid by Medicare
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
1 supplier16 claims16 services$12.72 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 20

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

Internal Medicine (Cardiovascular Disease)
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Internal Medicine (Hematology & Oncology)
100 MEDICAL PARK DR, STE 110, NORTHEAST ONCOLOGY ASSOCIATES
CONCORD, NC 28025
Internal Medicine
100 MEDICAL PARK DR, STE 110
CONCORD, NC 28025
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Nurse Practitioner
100 MEDICAL PARK DR, STE 110
CONCORD, NC 28025
Pediatrics (Pediatric Cardiology)
100 MEDICAL PARK DR, STE 310
CONCORD, NC 28025
Physician Assistant
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Pediatrics
100 MEDICAL PARK DR, STE 310
CONCORD, NC 28025

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 Geetha Vallabhaneni's NPI number?

The NPI number for Geetha Vallabhaneni is 1104036524. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Geetha Vallabhaneni located?

Geetha Vallabhaneni practices at 100 Medical Park Dr Ste 110, Concord, NC 28025. The listed phone number is (704) 403-1370.

What is Geetha Vallabhaneni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Geetha Vallabhaneni enrolled in Medicare?

Yes. Geetha Vallabhaneni 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 Geetha Vallabhaneni accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Geetha Vallabhaneni 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 Geetha Vallabhaneni affiliated with any hospitals?

According to CMS data, Geetha Vallabhaneni is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Geetha Vallabhaneni was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.