RADHA VANKAWALA MENON M.D.
NPI 1427218122
Internal Medicine - Gastroenterology in High Point, NC

Active since June 16, 2008PECOS EnrolledAccepts Medicare Assignment
86.67/100
CMS Quality Rating
1580 SKEET CLUB RD, HIGH POINT, NC 27265(336) 883-0029(336) 967-0283 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2024, Jul 19, 2024, Dec 14, 2021 and 1 more (4 updates tracked since 2021).

About Radha Vankawala Menon M.d. NPPES

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

RADHA VANKAWALA MENON M.D. (NPI 1427218122) is an individual gastroenterology provider in High Point, North Carolina, licensed in North Carolina (2020-01734) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1427218122
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameRADHA VANKAWALA MENONCredential: M.D.
Location Address1580 SKEET CLUB RDHigh Point, NC 27265-9530
Mailing Address645 N Main StHigh Point, NC 27260-5017 · (336) 883-0029
Fax(336) 967-0283
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 16, 2008
Last NPPES UpdateSeptember 25, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
NPI 1427218122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NC · 2020-01734
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1580 SKEET CLUB RD, High Point, NC 27265

Accepted 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

Radha Vankawala Menon 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 ID1456502699
PECOS Enrollment IDI20200504000212
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 10

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.
60 services58 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.
40 services32 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services27 patients
Measurement of liver stiffness 91200
Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.
29 services29 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
19 services19 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27265 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

86.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.31
Promoting Interoperability95
Improvement Activities40
Cost73.78

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
1580 SKEET CLUB RD
HIGH POINT, NC 27265
Nurse Practitioner
1580 SKEET CLUB RD
HIGH POINT, NC 27265
Clinic/Center (Ambulatory Surgical)
1580 SKEET CLUB RD
HIGH POINT, NC 27265
Internal Medicine
1580 SKEET CLUB RD
HIGH POINT, NC 27265
Family Medicine
1580 SKEET CLUB RD
HIGH POINT, NC 27265
Physical Medicine & Rehabilitation
1580 SKEET CLUB RD
HIGH POINT, NC 27265
Internal Medicine
1580 SKEET CLUB RD
HIGH POINT, NC 27265
Internal Medicine
1580 SKEET CLUB RD
HIGH POINT, NC 27265

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 Radha Menon's NPI number?

The NPI number for Radha Menon is 1427218122. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Radha Menon located?

Radha Menon practices at 1580 Skeet Club Rd, High Point, NC 27265. The listed phone number is (336) 883-0029.

What is Radha Menon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Radha Menon enrolled in Medicare?

Yes. Radha Menon 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 Radha Menon accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Radha Menon 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.

When was this NPI record last updated?

The NPPES record for Radha Menon was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.