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DR. VIVEK KOMMINENI DPM
NPI 1366025975
Podiatrist - Foot & Ankle Surgery in Los Angeles, CA

Active since May 01, 2021PECOS EnrolledAccepts Medicare Assignment
200 UCLA MEDICAL PLZ STE 526, LOS ANGELES, CA 90095(310) 206-6294 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2026, Oct 6, 2025, Sep 24, 2024 and 5 more (8 updates tracked since 2021).

About Dr. Vivek Kommineni Dpm NPPES

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

DR. VIVEK KOMMINENI DPM (NPI 1366025975) is an individual foot & ankle surgery provider in Los Angeles, California, licensed in California (E5977) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2021).

NPPES Registry Identity

NPI1366025975
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. VIVEK KOMMINENICredential: DPM
Location Address200 UCLA MEDICAL PLZ STE 526Los Angeles, CA 90095-6908
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 206-6294
Sole ProprietorNo
Medical School CMSWestern Un Of Hlth Sciences, Col Of Podiatric MedGraduated 2021
Enumeration DateMay 1, 2021
Last NPPES UpdateJuly 31, 20268 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1366025975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E5977
200 UCLA MEDICAL PLZ STE 526, Los Angeles, CA 90095
Open in Google Maps ↗

Secondary Practice Locations 2

Location 114445 Olive View Drive, Department of SurgerySylmar, CA 91342-1437 · Phone (747) 210-3000
Location 211301 Wilshire Blvd, Department Of Surgery 10H2Los Angeles, CA 90073-1003 · Phone (310) 478-3711

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. Vivek Kommineni Dpm 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 ID6608319843
PECOS Enrollment IDI20251024003446
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

2

Medicare enrollment records show Vivek Kommineni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Regents Of The University Of California
0.5 mi
Vascular Surgery
200 MEDICAL PLZ, SUITE #530
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group
NPI 1447218086 (310) 206-6294
County Of Los Angeles
3.0 mi
Public Health, State or Local
2509 PICO BLVD
Santa Monica, CA 90405
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
NPI 1235323080 (310) 998-3203

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

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.

DR. JANE KIM YANG M.D.
Surgery (Vascular Surgery)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6294
MRS. JOYCE V PERALTA ARNP
Nurse Practitioner (Acute Care)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6294
WESLEY S MOORE MD
Surgery (Vascular Surgery)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Los Angeles County (310) 267-0172
JOHNATHON CURTIS ROLLO MD
Surgery (Vascular Surgery)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6294
HUGH ANTHONY GELABERT MD
Surgery (Vascular Surgery)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6294
MARIANNA PAVLYHA MD
Surgery (Vascular Surgery)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6294
JESSICA BETH O'CONNELL M.D.
Surgery (Vascular Surgery)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6294
KAREN WOO
Surgery (Vascular Surgery)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6294

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 Vivek Kommineni's NPI number?

The NPI number for Vivek Kommineni is 1366025975. It was assigned to this individual provider in the NPPES registry on May 1, 2021.

Where is Vivek Kommineni located?

Vivek Kommineni practices at 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095. The listed phone number is (310) 206-6294.

What is Vivek Kommineni's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Vivek Kommineni enrolled in Medicare?

Yes. Vivek Kommineni 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 Vivek Kommineni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivek Kommineni reassigns Medicare benefits to 2 organizations: The Regents Of The University Of California (Los Angeles, CA) and County Of Los Angeles (Santa Monica, CA). 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 Vivek Kommineni'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 Vivek Kommineni was last updated on July 31, 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.