NPIMap

Individual provider Active NPI

Raghuveer Vedala, MD

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1154850527
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35704 Issued in OK
Practice address
900 NE 10TH St
Oklahoma City, OK 73104-5420
Phone
(405) 271-4311
NPI assigned
Jun 8, 2017
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 94-09228 KS
Family Medicine Physician 207Q00000X 35704 OK Primary

Addresses

Primary practice location

900 NE 10TH St
Oklahoma City, OK 73104-5420

Mailing address

17813 Morning Sky CT
Edmond, OK 73012-8230
Phone (405) 535-4722

Other practice location 1

1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 962-3070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812000235 OK Practitioner - Family Practice 3779854831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norman Regional Providers Primary CareGroup PAC ID 5496837718, 56 clinicians

Practice addresses (Care Compare)

2605 SW 119TH St a
Primary Care
Oklahoma City, OK 73170-2601
Phone (405) 912-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
94-09228KSMDFamily Medicine Physician
35704OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Aug 6, 2020 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Ou Health Partners, Inc Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Norman Regional Providers Primary Care Single Specialty CurrentSince Dec 12, 2022 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians Single Specialty CurrentSince Aug 6, 2020 Accepting new patients
Summit Medical Center Past Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc Single Specialty PastSince Jan 1, 1999 Accepting new patients
Norman Regional Hospital Authority Single Specialty Past Accepting new patients

Locations

2605 SW 119th St
Ste A
Oklahoma City, OK 73170
Phone (405) 912-3100

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Interoperability endpoints

  • Direct secure messaging: raghuveer.vedala@nrh.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1154850527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17813 MORNING SKY CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730128230",
            "telephone_number": "405-535-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NE 10TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045420",
            "telephone_number": "405-271-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Kansas St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143124",
            "country_code": "US",
            "telephone_number": "316-962-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEDALA",
        "first_name": "RAGHUVEER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-09228",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "35704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.