NPIMap

Individual provider Active NPI

Krishna Vedala, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1366939563
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38348 Issued in OK
Practice address
2605 SW 119TH St Ste a
Oklahoma City, OK 73170-2601
Phone
(405) 912-3400
Fax
(405) 912-3445
NPI assigned
Apr 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38348 OK Primary

Addresses

Primary practice location

2605 SW 119TH St Ste a
Oklahoma City, OK 73170-2601

Mailing address

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

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
I20210826003771 OK Practitioner - Internal MedicinePractitioner - Family Practice 8820353493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of Oklahoma College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norman Regional Providers Primary Care 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

  • Norman Regional Hospital, Norman, OK, CCN 370008
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Grady Memorial Hospital Hospital, Chickasha, OK, CCN 370054
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Providers Primary Care Internal Medicine CurrentSince Sep 25, 2021 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

700 S Telephone Rd
Ste 400
Moore, OK 73160
Phone (405) 912-3100

700 S Telephone Rd
Ste 301
Moore, OK 73160
Phone (405) 307-5701

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

Interoperability endpoints

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

Organizations & group practices 3

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

Hospital & facility affiliations 6

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1366939563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 SW 119TH ST STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731702601",
            "telephone_number": "405-912-3400",
            "fax_number": "405-912-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 SW 119TH ST STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731702601",
            "telephone_number": "405-912-3400",
            "fax_number": "405-912-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDALA",
        "first_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "38348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.