DR. RADHA VINNAKOTA M.D.
NPI 1184718306
Otolaryngology in South Plainfield, NJ

Active since October 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 31D2056612 · Waiver
86.87/100
CMS Quality Rating
2013 PARK AVE, SOUTH PLAINFIELD, NJ 07080(908) 753-2662(908) 753-2633 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2019, Jun 18, 2018 (2 updates tracked since 2018).

About Dr. Radha Vinnakota M.d. NPPES

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

DR. RADHA VINNAKOTA M.D. (NPI 1184718306) is an individual otolaryngology provider in South Plainfield, New Jersey, licensed in New Jersey (NJMA30649) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 31, 2027, and is affiliated with Jfk Medical Center.

NPPES Registry Identity

NPI1184718306
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. RADHA VINNAKOTACredential: M.D.
Location Address2013 PARK AVESouth Plainfield, NJ 07080-5401
Mailing Address6 Ravinn LnWarren, NJ 07059-5572 · (908) 753-2662 · Fax (908) 753-2633
Fax(908) 753-2633
Sole ProprietorYes
Medical School CMSOtherGraduated 1972
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 4, 20192 updates tracked since enumeration
NPI 1184718306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NJ · NJMA30649
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

2013 PARK AVE, South Plainfield, NJ 07080

Other Identifiers 1

Medicaid1347101NJ

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. Radha Vinnakota 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 ID7113926726
PECOS Enrollment IDI20061208000345
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2056612

Radha Vinnakota, MD · South Plainfield, NJ
Active · expires Mar 31, 2027
CLIA Number31D2056612
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorRadha Vinnakota
Laboratory Phone(908) 755-5599
Laboratory LocationRadha Vinnakota, MD2013 Park Avenue, South Plainfield, NJ 07080
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
324 services166 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
90 services71 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
65 services65 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.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07080 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

86.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.74
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
98%129 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
35%122 patients3/55-star benchmark: 100%
Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines
83%96 patients4/55-star benchmark: 89%
Documentation of Current Medications in the Medical Record
84%1,464 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 350 patients
Patients screened: 99% · 350 patients
76%100 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
96%136 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

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

Pediatrics
2013 PARK AVE
SOUTH PLAINFIELD, NJ 07080

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 Radha Vinnakota's NPI number?

The NPI number for Radha Vinnakota is 1184718306. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Radha Vinnakota located?

Radha Vinnakota practices at 2013 Park Ave, South Plainfield, NJ 07080. The listed phone number is (908) 753-2662.

What is Radha Vinnakota's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Radha Vinnakota enrolled in Medicare?

Yes. Radha Vinnakota 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.

Does Radha Vinnakota hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2056612) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Radha Vinnakota affiliated with any hospitals?

According to CMS data, Radha Vinnakota is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Radha Vinnakota was last updated on October 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.