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VINAY KUMAR LINGABATHULA M.D
NPI 1578812129
Internal Medicine in Dayton, OH

Active since August 29, 2012PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
33 W RAHN RD, DAYTON, OH 45429(937) 433-8990(937) 433-8691 Get Directions Write a Review

NPPES record last updated: July 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vinay Kumar Lingabathula M.d NPPES

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

VINAY KUMAR LINGABATHULA M.D (NPI 1578812129) is an individual internal medicine provider in Dayton, Ohio, licensed in Ohio (35.123471) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1578812129
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVINAY KUMAR LINGABATHULACredential: M.D
Location Address33 W RAHN RDDayton, OH 45429-2219
Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3186 · Fax (937) 223-9811
Phone(937) 433-8990
Fax(937) 433-8691
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 29, 2012
Last NPPES UpdateJuly 16, 2018
✔ NPI 1578812129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.123471
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
33 W RAHN RD, Dayton, OH 45429
Open in Google Maps ↗

Secondary Practice Location 1

Location 133 W Rahn RdDayton, OH 45429-2219 · Phone (937) 433-8990 ext. 102 · Fax (937) 433-8691

Other Identifiers 1

Medicaid0103410OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Vinay Kumar Lingabathula 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 ID9234353715
PECOS Enrollment IDI20140624002216
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 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.
252 services101 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.
222 services103 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 services99 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.
36 services36 patients

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%129 patients5/55-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.

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.

DR. MUHAMMAD SHAHID MD
Internal Medicine
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
DANIEL L BUTNARIU MD
Internal Medicine (Critical Care Medicine)
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
SHRUTI HITENDRABHAI PATEL MD
Internal Medicine (Infectious Disease)
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
NAEL SALEH MD
Internal Medicine
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
VALERIE ADESUWA ALIU MD
Internal Medicine
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
EILEEN RITA PAPE R.N.
Specialist
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
MOIRA B HEALY PA
Physician Assistant
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
DR. CRYSTAL BREIGHNER M.D.
Internal Medicine (Critical Care Medicine)
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990

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 Vinay Kumar Lingabathula's NPI number?

The NPI number for Vinay Kumar Lingabathula is 1578812129. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Vinay Kumar Lingabathula located?

Vinay Kumar Lingabathula practices at 33 W Rahn Rd, Dayton, OH 45429. The listed phone number is (937) 433-8990.

What is Vinay Kumar Lingabathula's specialty?

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

Is Vinay Kumar Lingabathula enrolled in Medicare?

Yes. Vinay Kumar Lingabathula 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 Vinay Kumar Lingabathula accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Vinay Kumar Lingabathula 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.

Is Vinay Kumar Lingabathula affiliated with any hospitals?

According to CMS data, Vinay Kumar Lingabathula is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Vinay Kumar Lingabathula was last updated on July 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.