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RAMA VAIDYANATHAN MD
NPI 1447226212
Internal Medicine in West Allis, WI

Active since February 23, 2006PECOS Enrolled
2514 S 102ND ST, STE. 160, WEST ALLIS, WI 53227(414) 255-0300(414) 543-9601 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2024, May 18, 2023, Mar 6, 2023 (3 updates tracked since 2023).

About Rama Vaidyanathan Md NPPES

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

RAMA VAIDYANATHAN MD (NPI 1447226212) is an individual internal medicine provider in West Allis, Wisconsin, licensed in Texas (T9267) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1447226212
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRAMA VAIDYANATHANCredential: MD
Location Address2514 S 102ND ST, STE. 160West Allis, WI 53227-2142
Mailing AddressPo Box 639295 Dept 93394Cincinnati, OH 45263-9295 · (248) 842-6600 · Fax (855) 618-6655
Phone(414) 255-0300
Fax(414) 543-9601
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1447226212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · T9267✔ Licensed in WI · 47214
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.
2514 S 102ND ST, West Allis, WI 53227
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Secondary Practice Locations 3

Location 17800 Shoal Creek Blvd Ste 130WAustin, TX 78757-1040 · Phone (512) 407-8880
Location 25414 Fredericksburg Rd Ste 100ASan Antonio, TX 78229-3641 · Phone (210) 468-0800 · Fax (210) 733-8649
Location 3606 Oakesdale Ave SW Ste C200Renton, WA 98057-5227 · Phone (866) 259-1629 · Fax (855) 666-8541

Other Identifiers 1

Medicaid34566100WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rama Vaidyanathan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Rama Vaidyanathan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa Of Texas PLLC
850 mi
Family Medicine
4545 FULLER DRIVE, SUITE 325
Irving, TX 75038
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
NPI 1679510499 (972) 870-5511
Vpa PC
1,683 mi
Family Medicine
606 OAKESDALE AVE SW STE C200
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 31 clinicians in this Medicare group
NPI 1093117574 (866) 259-1629

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 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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
547 services269 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
261 services151 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
120 services55 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
82 services77 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
75 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers23 claims79 services$6.79 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims11 services$55.70 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers23 claims23 services$36.37 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers18 claims18 services$14.79 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier18 claims18 services$47.02 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$185.43 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 9

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

HASHIM SADIG M.D.
Internal Medicine
2514 S 102ND ST, 160
WEST ALLIS, WI 53227
Milwaukee County (414) 225-0300
KENNETH BYOM DO
Family Medicine
2514 S 102ND ST, STE 160
WEST ALLIS, WI 53227
Milwaukee County (414) 255-0300
RUBY MCCAIN NP
Nurse Practitioner (Family)
2514 S 102ND ST, STE 160
WEST ALLIS, WI 53227
Milwaukee County (414) 255-0300
VISITING PODIATRY PLLC
Podiatrist (Primary Podiatric Medicine)
2514 S 102ND ST, SUITE 160B
WEST ALLIS, WI 53227
Milwaukee County (414) 255-0290
SHERIF NAGUIB GOBRIAL M.D.,
Internal Medicine
2514 S 102ND ST, SUITE 160
WEST ALLIS, WI 53227
Milwaukee County (414) 255-0300
BERNARD ZAWORSKI MD
Family Medicine
2514 S 102ND ST, SUITE 160
WEST ALLIS, WI 53227
Milwaukee County (414) 255-0300
JOSEPH SOUS MD
General Practice
2514 S 102ND ST, SUITE 160
WEST ALLIS, WI 53227
Milwaukee County (414) 255-0300
MEHBOOB M QURESHI MD
Internal Medicine
2514 S 102ND ST, SUITE 160
WEST ALLIS, WI 53227
Milwaukee County (414) 255-0300

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 Rama Vaidyanathan's NPI number?

The NPI number for Rama Vaidyanathan is 1447226212. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Rama Vaidyanathan located?

Rama Vaidyanathan practices at 2514 S 102nd St Ste. 160, West Allis, WI 53227. The listed phone number is (414) 255-0300.

What is Rama Vaidyanathan's specialty?

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

Is Rama Vaidyanathan enrolled in Medicare?

Yes. Rama Vaidyanathan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rama Vaidyanathan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rama Vaidyanathan reassigns Medicare benefits to 2 organizations: Vpa Of Texas PLLC (Irving, TX) and Vpa PC (Renton, WA). 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 Rama Vaidyanathan'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 Rama Vaidyanathan was last updated on August 19, 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.