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DHEERAJ DUGGINENI MD
NPI 1174011647
Emergency Medicine in Redwood City, CA

Active since April 30, 2018PECOS Enrolled
77.89/100
CMS Quality Rating
1100 VETERANS BLVD FL 1, REDWOOD CITY, CA 94063(650) 299-2200 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2026, Oct 8, 2024, Jul 17, 2023 and 3 more (6 updates tracked since 2018).

About Dheeraj Duggineni Md NPPES

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

DHEERAJ DUGGINENI MD (NPI 1174011647) is an individual emergency medicine provider in Redwood City, California, licensed in California (A194884) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174011647
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDHEERAJ DUGGINENICredential: MD
Location Address1100 VETERANS BLVD FL 1Redwood City, CA 94063-2037
Mailing Address1100 Veterans Blvd Fl 1Redwood City, CA 94063-2037
Phone(650) 299-2200
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 30, 2018
Last NPPES UpdateJuly 30, 20266 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1174011647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A194884
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1100 VETERANS BLVD FL 1, Redwood City, CA 94063
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dheeraj Duggineni Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113305863
PECOS Enrollment IDI20240531001593
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

4

Medicare enrollment records show Dheeraj Duggineni reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lpch Medical Group Div Of Lucile
4.5 mi
Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
NPI 1417907940 (650) 498-6762
Stanford Health Care
4.6 mi
General Acute Care Hospital
300 PASTEUR DRIVE
Stanford, CA 94305
  • Reassigned Medicare billing, California enrollment
  • 4,258 clinicians in this Medicare group
NPI 1437292927 (650) 723-4000
Emergency Department Physicians, P.C.
2,096 mi
Emergency Medicine
22101 MOROSS RD
Detroit, MI 48236
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Emergency Department Physicians PC
  • 237 clinicians in this Medicare group
NPI 1225083595 (313) 343-4000
Observation Emergency Physicians, P.C.
2,096 mi
Emergency Medicine
22101 MOROSS RD
Detroit, MI 48236
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Observation Emergency Physicians PC
  • 158 clinicians in this Medicare group
NPI 1497920524 (313) 343-4273

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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
185 services183 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
58 services58 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94063 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

77.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.07
Promoting Interoperability100
Improvement Activities40
Cost36.25

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 Dheeraj Duggineni's NPI number?

The NPI number for Dheeraj Duggineni is 1174011647. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Dheeraj Duggineni located?

Dheeraj Duggineni practices at 1100 Veterans Blvd Fl 1, Redwood City, CA 94063. The listed phone number is (650) 299-2200.

What is Dheeraj Duggineni's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Dheeraj Duggineni enrolled in Medicare?

Yes. Dheeraj Duggineni is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dheeraj Duggineni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dheeraj Duggineni reassigns Medicare benefits to 4 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA), Stanford Health Care (Stanford, CA), Emergency Department Physicians, P.C. (Detroit, MI) and Observation Emergency Physicians, P.C. (Detroit, MI). 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 Dheeraj Duggineni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dheeraj Duggineni was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.