DR. RADHIKA MEDIPALLI M.D.
NPI 1265510101
Internal Medicine - Nephrology in Oklahoma City, OK

Q: What is Radhika Medipalli's NPI number?

The NPI number for Radhika Medipalli is 1265510101. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Radhika Medipalli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Radhika Medipalli was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

77.12/100

CMS Quality Rating

13901 MCAULEY BLVD STE 303, OKLAHOMA CITY, OK 73134(405) 748-5800(405) 748-5806 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2018, Sep 17, 2018 (2 updates tracked since 2018).

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About Dr. Radhika Medipalli M.d. NPPES

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

DR. RADHIKA MEDIPALLI M.D. (NPI 1265510101) is an individual nephrology provider in Oklahoma City, Oklahoma, licensed in Wisconsin (45912) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1265510101

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameDR. RADHIKA MEDIPALLICredential: M.D.

Location Address13901 MCAULEY BLVD STE 303Oklahoma City, OK 73134-8704

Mailing Address13901 Mcauley Blvd, 100Oklahoma City, OK 73134-8700 · (405) 748-5800 · Fax (405) 748-5806

Phone(405) 748-5800

Fax(405) 748-5806

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateNovember 1, 2006

Last NPPES UpdateSeptember 24, 20182 updates tracked since enumeration

✔ NPI 1265510101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in WI · 45912

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

13901 MCAULEY BLVD STE 303, Oklahoma City, OK 73134

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Other Identifiers 1

Medicaid200210620AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.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. Radhika Medipalli 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 ID1850467184

PECOS Enrollment IDI20080910000140

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 15

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.

726 services455 patients

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.

413 services177 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.

296 services258 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

220 services34 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

177 services25 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

151 services144 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

121 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

110 services110 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.

90 services48 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

56 services44 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

48 services29 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

45 services31 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.

33 services26 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.

24 services19 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370013

Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services Birthing friendly

Oklahoma Heart Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipPhysician

CMS Certification Number370215

Location4050 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services

Oklahoma Heart Hospital South, LLC

Acute Care Hospitals · Oklahoma City, OK

5/5 CMS rating

OwnershipPhysician

CMS Certification Number370234

Location5200 East I-240 Service RoadOklahoma City, OK 73135 · Oklahoma County

Emergency services

Mercy Hospital Watonga, Inc

Critical Access Hospitals · Watonga, OK

OwnershipVoluntary non-profit - Private

CMS Certification Number371302

Location500 North Clarence Nash BoulevardWatonga, OK 73772 · Blaine County

Emergency services

Mercy Hospital Kingfisher, Inc

Critical Access Hospitals · Kingfisher, OK

OwnershipVoluntary non-profit - Private

CMS Certification Number371313

Location1000 Hospital DriveKingfisher, OK 73750 · Kingfisher County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73134 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

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.

77.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

74.78

Promoting Interoperability

100

Improvement Activities

Cost

32.28

Reported Quality Measures

Controlling High Blood Pressure

70%870 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

32%353 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%2,489 patients4/55-star benchmark: 100%

e-Prescribing

100%955 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%921 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

81%1,243 patients4/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 92% · 635 patients

Patients screened: 99% · 635 patients

9%47 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%1,271 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 949 patients

Patients totalRate: 0% · 949 patients

0%949 patients5/55-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 3

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

CELESTE A BOECKMAN

Internal Medicine (Nephrology)

13901 MCAULEY BLVD STE 303
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 748-5806

RAMON NORIEGA D.O.

Internal Medicine (Nephrology)

13901 MCAULEY BLVD STE 303
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 748-5800

ASHLEY KINDER DO

Internal Medicine (Nephrology)

13901 MCAULEY BLVD STE 303
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 748-3129

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 Radhika Medipalli's NPI number?

The NPI number for Radhika Medipalli is 1265510101. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Radhika Medipalli located?

Radhika Medipalli practices at 13901 Mcauley Blvd Ste 303, Oklahoma City, OK 73134. The listed phone number is (405) 748-5800.

What is Radhika Medipalli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Radhika Medipalli enrolled in Medicare?

Yes. Radhika Medipalli 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 Radhika Medipalli accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Radhika Medipalli 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 Radhika Medipalli affiliated with any hospitals?

According to CMS data, Radhika Medipalli is affiliated with Mercy Hospital Oklahoma City, Inc, Oklahoma Heart Hospital, LLC, Oklahoma Heart Hospital South, LLC, Mercy Hospital Watonga, Inc and Mercy Hospital Kingfisher, Inc.

When was this NPI record last updated?

The NPPES record for Radhika Medipalli was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.