Individual provider Active NPI

Vamsy Siva Bobba, MD

  • Orthopaedic Surgery Physician
  • East Providence, RI
National Provider Identifier
1861887440
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD17114 Issued in RI
Practice address
1 Kettle Point Ave
East Providence, RI 02914-5375
Phone
(401) 457-1500
NPI assigned
Apr 1, 2015
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301117221 MI
Orthopaedic Surgery Physician 207X00000X 69617 MN
Orthopaedic Surgery Physician 207X00000X MD17114 RI Primary

Addresses

Primary practice location

1 Kettle Point Ave
East Providence, RI 02914-5375

Mailing address

PO Box 1119
Providence, RI 02901-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MN, MA, IL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200622001064 RI Practitioner - Orthopedic Surgery 3870894991 Reassigns benefits to 1 organization
I20210724000045 MN Practitioner - Orthopedic Surgery 3870894991 Reassigns benefits to 1 organization
I20230127001315 MA Practitioner - Orthopedic Surgery 3870894991 Reassigns benefits to 1 organization
I20231107003896 IL Practitioner - Orthopedic Surgery 3870894991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Drexel University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

500 S Maple St
Waconia, MN 55387-1752
Phone (952) 442-2191

560 S Maple St
Waconia, MN 55387-1759

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.79 of 100Reported as group
Quality
24.52
Promoting interoperability
96
Improvement activities
40
Cost
65.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion21
Laminectomy or laminotomy (partial removal of spine bones)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301117221MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Suburban Orthopaedics LTD Orthopaedic Surgery CurrentSince Jun 27, 2023 Accepting new patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Orthopedic Care Physician Network LLC Orthopaedic Surgery CurrentSince Oct 15, 2022 Accepting new patients
Orthopedic Care Physician Network, LLC Orthopaedic Surgery CurrentSince Oct 15, 2022 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Ridgeview Medical Center CurrentSince Aug 28, 2025 Accepting new patients
Ridgeview Medical Center CurrentSince Aug 28, 2025 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients
Ridgeview Medical Center Past Accepting new patients

Locations

1110 W Schick Rd
Bartlett, IL 60103
Phone (630) 233-7029

1600 N Randall Rd
Ste 110
Elgin, IL 60123
Phone (630) 349-4199

1101 Perimeter Dr
Ste 125
Schaumburg, IL 60173
Phone (630) 793-4933

15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273

675 Paramount Dr
Raynham, MA 02767
Phone (508) 828-5848

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 130
Chaska, MN 55318
Phone (952) 456-7400

111 Hundertmark Rd
Ste 330
Chaska, MN 55318
Phone (952) 856-4033

916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

560 S Maple St
Ste 200
Waconia, MN 55387
Phone (952) 856-4033

1 Kettle Point Ave
East Providence, RI 02914
Phone (401) 330-1400

2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 444-3581

Organizations & group practices 10

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 4

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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1861887440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029011119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KETTLE POINT AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145375",
            "telephone_number": "401-457-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBA",
        "first_name": "VAMSY",
        "middle_name": "SIVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301117221",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "69617",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "MD17114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.