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DR. VENUBABU KANDIMALLA M.D
NPI 1972734952
Internal Medicine in Clinton, MA

Active since August 07, 2009PECOS EnrolledAccepts Medicare Assignment
201 HIGHLAND ST, CLINTON, MA 01510(978) 368-3000 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2020, Mar 17, 2018, May 31, 2017 (3 updates tracked since 2017).

About Dr. Venubabu Kandimalla M.d NPPES

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

DR. VENUBABU KANDIMALLA M.D (NPI 1972734952) is an individual internal medicine provider in Clinton, Massachusetts, licensed in Massachusetts (251850) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1972734952
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. VENUBABU KANDIMALLACredential: M.D
Location Address201 HIGHLAND STClinton, MA 01510-1037
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(978) 368-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 7, 2009
Last NPPES UpdateDecember 2, 20203 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
✔ NPI 1972734952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 251850
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.
201 HIGHLAND ST, Clinton, MA 01510
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Secondary Practice Locations 4

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (774) 441-6767 · Fax (774) 441-6787
Location 2123 Summer StWorcester, MA 01608-1216 · Phone (508) 363-5000
Location 3157 Union StMarlborough, MA 01752-1228 · Phone (508) 486-5678 · Fax (508) 486-5677
Location 4119 Belmont StWorcester, MA 01605-2903 · Phone (508) 334-8515 · Fax (508) 334-6490

Other Identifiers 1

Medicaid110093189AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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. Venubabu Kandimalla 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 ID9739338054
PECOS Enrollment IDI20121004000027
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 5

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 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.
497 services199 patients
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.
412 services39 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.
201 services186 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.
190 services176 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.
39 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01510 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
3 suppliers32 claims32 services$14.96 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier24 claims24 services$3.19 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
3 suppliers34 claims34 services$67.94 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.

RONALD G LAVENDA DPM ASSOCIATES PC
Podiatrist (Foot Surgery)
201 HIGHLAND ST, SUITE C CLINTON HOSPITAL
CLINTON, MA 01510
Worcester County (978) 368-3990
RONALD G. LAVENDA DPM
Podiatrist (Foot Surgery)
201 HIGHLAND ST, SUITE C CLINTON HOSPITAL
CLINTON, MA 01510
Worcester County (978) 368-3990
GENE FRANCIS DUNGO DEL ROSARIO MD
Internal Medicine
201 HIGHLAND ST, SUITE 2
CLINTON, MA 01510
Worcester County (978) 368-3870
CLINTON MEDICAL ASSOCIATES LLC
Internal Medicine
201 HIGHLAND ST
CLINTON, MA 01510
Worcester County (978) 368-3707
DR. PETER D OLDAK M.D.
Emergency Medicine
201 HIGHLAND ST, DEPARTMENT OF EMERGENCY MEDICINE
CLINTON, MA 01510
Worcester County (978) 368-3000
MRS. LAURA JOAN CERUNDOLO MS, RD, LDN
Dietitian, Registered
201 HIGHLAND ST
CLINTON, MA 01510
Worcester County (978) 368-3000
DANIELA WINSTON M.D.
Internal Medicine
201 HIGHLAND ST
CLINTON, MA 01510
Worcester County (978) 368-3905
KRISTIN ANNA MIKKELSEN CNP
Nurse Practitioner (Psychiatric/Mental Health)
201 HIGHLAND ST
CLINTON, MA 01510
Worcester County (978) 368-3000

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 Venubabu Kandimalla's NPI number?

The NPI number for Venubabu Kandimalla is 1972734952. It was assigned to this individual provider in the NPPES registry on August 7, 2009.

Where is Venubabu Kandimalla located?

Venubabu Kandimalla practices at 201 Highland St, Clinton, MA 01510. The listed phone number is (978) 368-3000.

What is Venubabu Kandimalla's specialty?

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

Is Venubabu Kandimalla enrolled in Medicare?

Yes. Venubabu Kandimalla 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 Venubabu Kandimalla accept?

Health plans from WellSense Health Plan list Venubabu Kandimalla 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 Venubabu Kandimalla affiliated with any hospitals?

According to CMS data, Venubabu Kandimalla is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Venubabu Kandimalla was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.