DR. RAGHUVEER VEDALA MD
NPI 1154850527
Family Medicine in Oklahoma City, OK

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment
91.18/100
CMS Quality Rating
900 NE 10TH ST, OKLAHOMA CITY, OK 73104(405) 271-4311 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2021, Sep 15, 2017, Jun 8, 2017 (3 updates tracked since 2017).

About Dr. Raghuveer Vedala Md NPPES

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

DR. RAGHUVEER VEDALA MD (NPI 1154850527) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (35704) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Norman Regional, and maintains a secondary practice location in Wichita.

NPPES Registry Identity

NPI1154850527
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAGHUVEER VEDALACredential: MD
Location Address900 NE 10TH STOklahoma City, OK 73104-5420
Mailing Address17813 Morning Sky CtEdmond, OK 73012-8230 · (405) 535-4722
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 8, 2017
Last NPPES UpdateApril 7, 20213 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
NPI 1154850527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in OK · 35704 Licensed in KS · 94-09228
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

900 NE 10TH ST, Oklahoma City, OK 73104

Secondary Practice Location 1

Location 11010 N Kansas StWichita, KS 67214-3124 · Phone (316) 962-3070

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Raghuveer Vedala 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 ID3779854831
PECOS Enrollment IDI20200812000235
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 12

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.
197 services99 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.
139 services98 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
86 services83 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
84 services84 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
84 services84 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 patients

Hospital Affiliations CMS Care Compare 3

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

Norman Regional

Acute Care Hospitals · Norman, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370008
Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

91.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.27
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.

Physician Assistant
900 NE 10TH ST
OKLAHOMA CITY, OK 73104
Family Medicine
900 NE 10TH ST
OKLAHOMA CITY, OK 73104
Family Medicine
900 NE 10TH ST, FMC 2102
OKLAHOMA CITY, OK 73104
Family Medicine
900 NE 10TH ST
OKLAHOMA CITY, OK 73104
Family Medicine
900 NE 10TH ST
OKLAHOMA CITY, OK 73104
Clinic/Center
900 NE 10TH ST
OKLAHOMA CITY, OK 73104
Pharmacist
900 NE 10TH ST
OKLAHOMA CITY, OK 73104
Family Medicine
900 NE 10TH ST
OKLAHOMA CITY, OK 73104

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 Raghuveer Vedala's NPI number?

The NPI number for Raghuveer Vedala is 1154850527. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Raghuveer Vedala located?

Raghuveer Vedala practices at 900 NE 10th St, Oklahoma City, OK 73104. The listed phone number is (405) 271-4311.

What is Raghuveer Vedala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raghuveer Vedala enrolled in Medicare?

Yes. Raghuveer Vedala 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 Raghuveer Vedala accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Raghuveer Vedala 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 Raghuveer Vedala affiliated with any hospitals?

According to CMS data, Raghuveer Vedala is affiliated with Norman Regional, O U Medical Center and Integris Southwest Medical Center.

When was this NPI record last updated?

The NPPES record for Raghuveer Vedala was last updated on April 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.