KALYAN CHAKRAVARTHY VUNNAMADALA M.D.
NPI 1609991207
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Tulsa, OK

Q: What is Kalyan Vunnamadala's NPI number?

The NPI number for Kalyan Vunnamadala is 1609991207. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Kalyan Vunnamadala's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment

1923 S UTICA AVE FL 5, TULSA, OK 74104(918) 712-3366(918) 403-6343 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 4, 2024, Sep 4, 2024, Oct 21, 2022 and 3 more (6 updates tracked since 2015).

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About Kalyan Chakravarthy Vunnamadala M.d. NPPES

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

KALYAN CHAKRAVARTHY VUNNAMADALA M.D. (NPI 1609991207) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Tulsa, Oklahoma, licensed in Oklahoma (44780) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609991207

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameKALYAN CHAKRAVARTHY VUNNAMADALACredential: M.D.

Location Address1923 S UTICA AVE FL 5Tulsa, OK 74104-6520

Mailing Address920 E 1st St Ste 303Duluth, MN 55805-2225 · (218) 249-6050 · Fax (218) 249-6055

Phone(918) 712-3366

Fax(918) 403-6343

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMarch 20, 2007

Last NPPES UpdateJanuary 13, 20256 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2025

✔ NPI 1609991207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in OK · 44780✔ Licensed in IA · MD-42919✔ Licensed in AZ · 73347✔ Licensed in SD · 12011

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1923 S UTICA AVE FL 5, Tulsa, OK 74104

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Secondary Practice Locations 2

Location 11707 W Saint Marys Rd Ste 101Tucson, AZ 85745-2612 · Phone (520) 396-1370 · Fax (520) 396-1375

Location 24520 W 69th StSioux Falls, SD 57108-8148 · Phone (605) 977-5000 · Fax (605) 977-5377

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Blue Cross Blue Shield of Arizona, CommunityCare and more.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

Kalyan Chakravarthy Vunnamadala 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 ID244549806

PECOS Enrollment IDI20180531000231, I20251212002085

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 11

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.

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

97 services97 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Coronary artery bypass using vein or artery graft, 2 grafts 33518

A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.

53 services53 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

41 services39 patients

Coronary artery bypass using vein or artery graft, 1 graft 33517

A coronary artery bypass is a surgical procedure that improves blood flow to the heart. A vein or artery from another part of your body is used to create a new route for blood to bypass a blocked coronary artery. This helps relieve chest pain and reduce heart attack risk.

23 services23 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.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM

1/5 CMS rating

OwnershipProprietary

CMS Certification Number320018

Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County

Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370114

Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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

$162.61 typical visit price

range $53.00 – $162.61

Typical copayment $40.65 (range $13.25 – $40.65)

Most-billed visit code 99205

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

STEVEN LEE PIKE MD

Surgery (Vascular Surgery)