DR. VINEELA R PODDATOORI MD
NPI 1205017589
Obstetrics & Gynecology in San Jose, CA
About Dr. Vineela R Poddatoori Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VINEELA R PODDATOORI MD (NPI 1205017589) is an individual obstetrics & gynecology provider in San Jose, California, licensed in California (A97939) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lafayette, and is a graduate of Ohio State University College Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Vineela R Poddatoori 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.
Medicare Billing Reassignment
Medicare enrollment records show Vineela Poddatoori reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 Vineela Poddatoori's NPI number?
The NPI number for Vineela Poddatoori is 1205017589. It was assigned to this individual provider in the NPPES registry on November 15, 2007. The provider is also known as Miss Vineela Muni Ravva.
Where is Vineela Poddatoori located?
Vineela Poddatoori practices at 751 S Bascom Ave Ob Gyn, San Jose, CA 95128. The listed phone number is (408) 885-5000.
What is Vineela Poddatoori's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Vineela Poddatoori enrolled in Medicare?
Yes. Vineela Poddatoori 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.
Which organization bills Medicare for Vineela Poddatoori's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vineela Poddatoori reassigns Medicare benefits to Sutter Bay Medical Foundation (Palo Alto, CA). The 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 Vineela Poddatoori'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 Vineela Poddatoori was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Dr. Vineela R Poddatoori, MD · NPI 1205017589
Obstetrics & Gynecology physician in San Jose, California. Individual provider, active in the CMS NPPES registry since November 15, 2007.
## Identity
- **NPI:** 1205017589 (Entity type: Individual)
- **Enumerated:** November 15, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** A97939 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 S BASCOM AVE, OB GYN, San Jose, CA 95128-2604
- **Phone:** (408) 885-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2005
## Record status
- **NPPES last updated:** January 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205017589) · Data from the CMS NPPES public registry.