VIVEK RAMNIKBHAI MENDAPARA MD
NPI 1457849895
Internal Medicine in Morgantown, WV

Q: What is Vivek Mendapara's NPI number?

The NPI number for Vivek Mendapara is 1457849895. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Q: What is Vivek Mendapara's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vivek Mendapara was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 01, 2018PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

1200 J D ANDERSON DR, MORGANTOWN, WV 26505(304) 598-1200(304) 598-1699 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2025, Apr 14, 2022, Dec 27, 2021 and 6 more (9 updates tracked since 2018).

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About Vivek Ramnikbhai Mendapara Md NPPES

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

VIVEK RAMNIKBHAI MENDAPARA MD (NPI 1457849895) is an individual internal medicine provider in Morgantown, West Virginia, licensed in North Carolina (2021-01078) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Blue Ridge Healthcare Hospitals, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457849895

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameVIVEK RAMNIKBHAI MENDAPARACredential: MD

Location Address1200 J D ANDERSON DRMorgantown, WV 26505-3494

Mailing Address1200 J D Anderson DrMorgantown, WV 26505-3494 · (304) 598-1200 · Fax (762) 200-7630

Phone(304) 598-1200

Fax(304) 598-1699

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateMay 1, 2018

Last NPPES UpdateMarch 20, 20259 updates tracked since enumeration

NPPES CertifiedMarch 20, 2025

✔ NPI 1457849895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in NC · 2021-01078✔ Licensed in OH · 57.246292✔ Licensed in WV · 30781

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 57.246292 (OH)

Also ListedHospitalistTaxonomy 208M00000X · License 30781 (WV)

1200 J D ANDERSON DR, Morgantown, WV 26505

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Secondary Practice Locations 2

Location 1433 McAlister RdLincolnton, NC 28092-4147 · Phone (980) 212-2000

Location 2230 Hospital PlzWeston, WV 26452-8558 · Phone (304) 269-8000 · Fax (304) 269-8090

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Plan of North Carolina, Inc.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

Vivek Ramnikbhai Mendapara 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 ID7214330315

PECOS Enrollment IDI20210727003274, I20220516001711

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 5

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.

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.

193 services189 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.

131 services63 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.

91 services91 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

76 services74 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.

32 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Blue Ridge Healthcare Hospitals, Inc

Acute Care Hospitals · Morganton, NC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number340075

Location2201 S Sterling StMorganton, NC 28655 · Burke County

Emergency services Birthing friendly

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340109

Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County

Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340145

Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County

Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340166

Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County

Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510024

Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

90.11/100

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

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers18 claims18 services$85.44 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 20

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

FILIP IONESCU MD

Internal Medicine (Hematology & Oncology)