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DR. RAVI RAJA KUMAR VINNAKOTA M.D.
NPI 1245561240
Internal Medicine in Paoli, PA

Active since January 15, 2010PECOS EnrolledAccepts Medicare Assignment
96.99/100
CMS Quality Rating
255 W LANCASTER AVE, PAOLI, PA 19301(484) 565-1510 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 14, 2015, Dec 11, 2015 (2 updates tracked since 2015).

About Dr. Ravi Raja Kumar Vinnakota M.d. NPPES

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

DR. RAVI RAJA KUMAR VINNAKOTA M.D. (NPI 1245561240) is an individual internal medicine provider in Paoli, Pennsylvania, licensed in Pennsylvania (MD455870) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and maintains a secondary practice location in Wappingers Falls.

NPPES Registry Identity

NPI1245561240
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAVI RAJA KUMAR VINNAKOTACredential: M.D.
Location Address255 W LANCASTER AVEPaoli, PA 19301-1763
Mailing Address255 W Lancaster AvePaoli, PA 19301-1763 · (484) 565-1510
Phone(484) 565-1510
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2010
Enumeration DateJanuary 15, 2010
Last NPPES UpdateJanuary 9, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1245561240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD455870
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD455870 (PA)
255 W LANCASTER AVE, Paoli, PA 19301
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Secondary Practice Location 1

Location 141 Castle Point RdWappingers Falls, NY 12590-7004 · Phone (914) 309-1172

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. Ravi Raja Kumar 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 ID9133407091
PECOS Enrollment IDI20161027000395
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

3

Medicare enrollment records show Ravi Vinnakota reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Main Line Healthcare
6.5 mi
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
NPI 1922077643 (484) 337-1585
St Luke's Physician Group Inc
16 mi
Family Medicine
658 HARLEYSVILLE PIKE STE 120
Harleysville, PA 19438
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1184518581 (215) 256-9655
Gslpg, Inc
53 mi
Specialist
100 PARAMOUNT BLVD
Orwigsburg, PA 17961
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 953 clinicians in this Medicare group
NPI 1366006702 (272) 639-1000

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
610 services273 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
132 services129 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19301 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

96.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.82
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$14.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$62.30 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.

TALIA LAGRAVINESE CRNP
Nurse Practitioner (Acute Care)
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1510
EMILY JANE DAMICO
Physician Assistant
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (215) 429-1003
MRS. LYNN B WOLFF CRNP
Nurse Practitioner (Acute Care)
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1600
MARY ANITA DILLOWAY MD
Pediatrics
255 W LANCASTER AVE, MOB 1 STE 101
PAOLI, PA 19301
Chester County (610) 644-9380
DR. SCOTT A. OLEX D.O.
Hospitalist
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1510
DR. JANIS ZVARGULIS M.D.
Anesthesiology
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1020
PAOLI PEDIATRICS PC
Pediatrics
255 W LANCASTER AVE, MOB 1 SUITE 101
PAOLI, PA 19301
Chester County (610) 644-9380
ADVOCARE, LLC
Hospitalist
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (610) 308-5755

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 Ravi Vinnakota's NPI number?

The NPI number for Ravi Vinnakota is 1245561240. It was assigned to this individual provider in the NPPES registry on January 15, 2010.

Where is Ravi Vinnakota located?

Ravi Vinnakota practices at 255 W Lancaster Ave, Paoli, PA 19301. The listed phone number is (484) 565-1510.

What is Ravi Vinnakota's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ravi Vinnakota enrolled in Medicare?

Yes. Ravi 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.

Which organizations bill Medicare for Ravi Vinnakota's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ravi Vinnakota reassigns Medicare benefits to 3 organizations: Main Line Healthcare (Newtown Square, PA), St Luke's Physician Group Inc (Harleysville, PA) and Gslpg, Inc (Orwigsburg, PA). 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 Ravi Vinnakota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ravi Vinnakota affiliated with any hospitals?

According to CMS data, Ravi Vinnakota is affiliated with Bryn Mawr Hospital and Paoli Hospital.

When was this NPI record last updated?

The NPPES record for Ravi Vinnakota was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.