DR. VENKATA G. BUDHARAJU MD
NPI 1427114735
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pinellas Park, FL

Q: What is Venkata Budharaju's NPI number?

The NPI number for Venkata Budharaju is 1427114735. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Q: What is Venkata Budharaju's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Venkata Budharaju was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 29, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

6229 66TH ST N, PINELLAS PARK, FL 33781(727) 623-9913(727) 803-6852 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2025, Feb 4, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Venkata G. Budharaju Md NPPES

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

DR. VENKATA G. BUDHARAJU MD (NPI 1427114735) is an individual endocrinology, diabetes & metabolism provider in Pinellas Park, Florida, licensed in Florida (ME108425) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Orlando Health Bayfront Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1427114735

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. VENKATA G. BUDHARAJUCredential: MD

Location Address6229 66TH ST NPinellas Park, FL 33781-5025

Mailing AddressPo Box 40725St Petersburg, FL 33743-0725 · (727) 623-9913

Phone(727) 623-9913

Fax(727) 803-6852

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateDecember 29, 2006

Last NPPES UpdateJune 20, 20254 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1427114735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in FL · ME108425

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT187682 (PA)

6229 66TH ST N, Pinellas Park, FL 33781

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Other Identifiers 3

Medicaid003474700FL

OtherP01264969FL · Railroad Medicare

Other14C73FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Venkata G. Budharaju 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.

PECOS PAC ID4587833652

PECOS Enrollment IDI20110805000308

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 9

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.

683 services371 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.

385 services265 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.

372 services123 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.

278 services61 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.

140 services119 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.

105 services105 patients

Hospital Affiliations CMS Care Compare 5

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

Orlando Health Bayfront Hospital

Acute Care Hospitals · Saint Petersburg, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100032

Location701 6th St SSaint Petersburg, FL 33701 · Pinellas County

Emergency services Birthing friendly

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100067

Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County

Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Hca Florida Largo Hospital

Acute Care Hospitals · Largo, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100248

Location201 14th St SWLargo, FL 33770 · Pinellas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33781 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

100/100

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

Individually scored

Quality

100

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%1,166 patients5/55-star benchmark: 100%

Controlling High Blood Pressure

76%1,083 patients4/55-star benchmark: 98%

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

Lower rates are better for this measure.

32%920 patients3/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

100%5,577 patients5/55-star benchmark: 100%

e-Prescribing

98%4,064 patients4/55-star benchmark: 100%

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

100%2,463 patients5/55-star benchmark: 100%

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

Patients combinedPopulations: 86% · 1,691 patients

Patients screened: 83% · 1,691 patients

100%114 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

91%1,028 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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

7 suppliers82 claims1,057 services$17.84 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

7 suppliers76 claims2,262 services$2.33 avg. paid by Medicare

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238

DME-Medical/Surgical Supplies · category DA000N

4 suppliers42 claims42 services$173.81 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

79 suppliers264 claims1,457 services$6.36 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

4 suppliers41 claims41 services$2.94 avg. paid by Medicare

Spring-powered device for lancet, each A4258

DME-Other DME · category DE000N

5 suppliers17 claims17 services$1.86 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 5

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

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