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DR. RADHIKA RACHAMALLA MD
NPI 1669466595
Internal Medicine - Hematology & Oncology in Poughkeepsie, NY

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
45 READE PL, DYSON CENTER 2ND FLOOR, POUGHKEEPSIE, NY 12601(845) 483-6960(845) 483-6425 Get Directions Write a Review

NPPES record last updated: December 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Radhika Rachamalla Md NPPES

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

DR. RADHIKA RACHAMALLA MD (NPI 1669466595) is an individual hematology & oncology provider in Poughkeepsie, New York, licensed in New York (233018) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1669466595
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. RADHIKA RACHAMALLACredential: MD
Location Address45 READE PL, DYSON CENTER 2ND FLOORPoughkeepsie, NY 12601-3947
Mailing Address1351 Route 55, Suite 200Lagrangeville, NY 12540-5108 · (845) 475-9661 · Fax (845) 475-9938
Phone(845) 483-6960
Fax(845) 483-6425
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 7, 2005
Last NPPES UpdateDecember 29, 2016
✔ NPI 1669466595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NY · 233018
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 233018 (NY)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 233018 (NY)
45 READE PL, Poughkeepsie, NY 12601
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Other Identifiers 3

Medicare UPINI19379
Medicaid02600833NY
Medicare PINA400144600NY

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

Dr. Radhika Rachamalla 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 ID9537121066
PECOS Enrollment IDI20041027001224
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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
573 services298 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
569 services290 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
131 services108 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
87 services62 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
52 services52 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.
42 services42 patients

Hospital Affiliations CMS Care Compare 4

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330049
Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County
Emergency services Birthing friendly

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330273
Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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
$187.05 typical visit price
range $61.88 – $187.05
Typical copayment $46.76 (range $15.47 – $46.76)
Most-billed visit code 99205
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
50%409 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
19%330 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
70%44 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,569 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
17%466 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%885 patients2/55-star benchmark: 97%
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.

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.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier22 claims1,638 services$0.64 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier18 claims19 services$11.93 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.

PRIYAM PATTNAIK MD
Pediatrics (Neonatal-Perinatal Medicine)
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-5677
CHRISTINE WILSON AGACNP
Nurse Practitioner (Acute Care)
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 454-8500
ZEESHAN IRANI DO, MSMED
Student in an Organized Health Care Education/Training Program
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (203) 241-2685
DIANNE GUARNERA THOMSON PA
Physician Assistant (Surgical)
45 READE PL, VASSAR BROTHERS MEDICAL CENTER
POUGHKEEPSIE, NY 12601
Dutchess County (845) 454-8500
DR. JAMES SHARP M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-5618
DR. DOMENICO CARMINE MASTANDREA D.O.
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-5680
CHENG NG MD
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 790-1317
MEGAN CALARDO CRNA
Nurse Anesthetist, Certified Registered
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 454-8500

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 Radhika Rachamalla's NPI number?

The NPI number for Radhika Rachamalla is 1669466595. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Radhika Rachamalla located?

Radhika Rachamalla practices at 45 Reade Pl Dyson Center 2nd Floor, Poughkeepsie, NY 12601. The listed phone number is (845) 483-6960.

What is Radhika Rachamalla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Radhika Rachamalla enrolled in Medicare?

Yes. Radhika Rachamalla 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.

Is Radhika Rachamalla affiliated with any hospitals?

According to CMS data, Radhika Rachamalla is affiliated with Vassar Brothers Medical Center, Northern Dutchess Hospital, St Luke's Cornwall Hospital and Putnam Hospital Center.

When was this NPI record last updated?

The NPPES record for Radhika Rachamalla was last updated on December 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.