RAGHU CHAKRAVARTHY VANAMA
NPI 1528324944
Internal Medicine in Valparaiso, IN

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
85 E US HIGHWAY 6, 2E, VALPARAISO, IN 46383(313) 745-7999 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raghu Chakravarthy Vanama NPPES

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

RAGHU CHAKRAVARTHY VANAMA (NPI 1528324944) is an individual internal medicine provider in Valparaiso, Indiana, licensed in Indiana (01075334A) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Espanola Hospital, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1528324944
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAGHU CHAKRAVARTHY VANAMA
Location Address85 E US HIGHWAY 6, 2EValparaiso, IN 46383-8947
Mailing Address6 S Laflin St, 805Chicago, IL 60607-2433 · (313) 409-2536
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 10, 2012
Last NPPES UpdateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
✔ NPI 1528324944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01075334A
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.
85 E US HIGHWAY 6, Valparaiso, IN 46383

Secondary Practice Location 1

Location 11100 Central Ave SEAlbuquerque, NM 87106-4930 · Phone (505) 724-6124 · Fax (505) 724-6125

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

Raghu Chakravarthy Vanama 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 ID5890003685
PECOS Enrollment IDI20160926000836
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 Reassignment

Medicare enrollment records show Raghu Vanama reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Critical Access
301 E MIEL DE LUNA AVE
Tucumcari, NM 88401
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group

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 4

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.

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.
477 services146 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
99 services98 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.
20 services15 patients
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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Presbyterian Espanola Hospital

Acute Care Hospitals · Espanola, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320011
Location1010 Spruce StreetEspanola, NM 87532 · Rio Arriba County
Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46383 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers58 claims64 services$13.81 avg. paid by Medicare
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 suppliers58 claims63 services$64.10 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.

Registered Nurse
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Emergency Medicine
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Internal Medicine (Critical Care Medicine)
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Student in an Organized Health Care Education/Training Program
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Student in an Organized Health Care Education/Training Program
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Student in an Organized Health Care Education/Training Program
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Radiology (Vascular & Interventional Radiology)
85 E US HIGHWAY 6, DEPARTMENT OF RADIOLOGY
VALPARAISO, IN 46383
Nurse Practitioner
85 E US HIGHWAY 6
VALPARAISO, IN 46383

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 Raghu Vanama's NPI number?

The NPI number for Raghu Vanama is 1528324944. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Raghu Vanama located?

Raghu Vanama practices at 85 E Us Highway 6 2E, Valparaiso, IN 46383. The listed phone number is (313) 745-7999.

What is Raghu Vanama's specialty?

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

Is Raghu Vanama enrolled in Medicare?

Yes. Raghu Vanama 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 organization bills Medicare for Raghu Vanama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raghu Vanama reassigns Medicare benefits to Presbyterian Healthcare Services (Tucumcari, NM). The 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 Raghu Vanama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Raghu Vanama affiliated with any hospitals?

According to CMS data, Raghu Vanama is affiliated with Presbyterian Espanola Hospital and Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Raghu Vanama was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.