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DR. VINAY GOPAL NIDADAVOLU M.D
NPI 1750660734
Internal Medicine - Pulmonary Disease in Louisville, KY

Active since August 09, 2011PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
3430 NEWBURG RD STE 150, LOUISVILLE, KY 40218(502) 459-9127(502) 459-2156 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2024, Jul 16, 2024, May 7, 2024 and 1 more (4 updates tracked since 2024).

About Dr. Vinay Gopal Nidadavolu M.d NPPES

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

DR. VINAY GOPAL NIDADAVOLU M.D (NPI 1750660734) is an individual pulmonary disease provider in Louisville, Kentucky, licensed in Kentucky (47408) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Columbus Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750660734
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. VINAY GOPAL NIDADAVOLUCredential: M.D
Location Address3430 NEWBURG RD STE 150Louisville, KY 40218-2497
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 459-9127
Fax(502) 459-2156
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 9, 2011
Last NPPES UpdateAugust 22, 20244 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1750660734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in KY · 47408
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 47408 (KY), 01088858A (IN)
3430 NEWBURG RD STE 150, Louisville, KY 40218
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12400 17th StColumbus, IN 47201-5351 · Phone (812) 376-5757
Location 21903 W Hebron LnShepherdsville, KY 40165-7425 · Phone (502) 852-5842

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Vinay Gopal Nidadavolu 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 ID2961771456
PECOS Enrollment IDI20170626002337, I20240501001129
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.

Hospital Affiliations CMS Care Compare 2

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

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40218 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

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
68%47 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.
98%1,047 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,478 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
81%231 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%604 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
99%300 patients5/55-star benchmark: 90%
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…
23%517 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
97%297 patients5/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 324 patients
Patients tobacco: 92% · 324 patients
53%49 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%604 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%604 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 300 patients
0%300 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
14%604 patients
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 25

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers11 claims11 services$34.49 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers12 claims23 services$1.14 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers11 claims11 services$12.66 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers28 claims28 services$78.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers31 claims73 services$29.10 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers23 claims23 services$16.40 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 15

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

MRS. TESSIE HEPWORTH APRN, AGACNP-BC
Nurse Practitioner (Acute Care)
3430 NEWBURG RD STE 150
LOUISVILLE, KY 40218
Jefferson County (502) 459-9127
KAYLA BROOKE ENSIGN
Student in an Organized Health Care Education/Training Program
3430 NEWBURG RD STE 150
LOUISVILLE, KY 40218
Jefferson County (502) 636-7111
MR. ROBERT MICHAEL HOERNER MD
Internal Medicine (Pulmonary Disease)
3430 NEWBURG RD STE 150
LOUISVILLE, KY 40218
Jefferson County (502) 459-9127
KATHRYN LYNN STRAIT APRN
Nurse Practitioner (Family)
3430 NEWBURG RD STE 150
LOUISVILLE, KY 40218
Jefferson County (502) 459-9127
RICHARD WAYNE BAKER MD
Internal Medicine (Pulmonary Disease)
3430 NEWBURG RD STE 150
LOUISVILLE, KY 40218
Jefferson County (502) 459-9127
JESSICA RAYMOND RICHARDS DNP
Nurse Practitioner (Acute Care)
3430 NEWBURG RD STE 150
LOUISVILLE, KY 40218
Jefferson County (502) 559-5864
ERICA DALY PA-C
Physician Assistant
3430 NEWBURG RD STE 150
LOUISVILLE, KY 40218
Jefferson County (502) 559-5864
GRACE S KARR
Physician Assistant
3430 NEWBURG RD STE 150
LOUISVILLE, KY 40218
Jefferson County (502) 559-5864

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 Nidadavolu's NPI number?

The NPI number for Vinay Nidadavolu is 1750660734. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is Vinay Nidadavolu located?

Vinay Nidadavolu practices at 3430 Newburg Rd Ste 150, Louisville, KY 40218. The listed phone number is (502) 459-9127.

What is Vinay Nidadavolu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Vinay Nidadavolu enrolled in Medicare?

Yes. Vinay Nidadavolu 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 Nidadavolu accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Vinay Nidadavolu 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 Nidadavolu affiliated with any hospitals?

According to CMS data, Vinay Nidadavolu is affiliated with Columbus Regional Hospital and Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Vinay Nidadavolu was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.