Venkata Vineeth Vaddavalli, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Rochester, Minnesota. His current practice location is
200 1st St Sw, Rochester, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 778-6419.
Venkata Vineeth Vaddavalli is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457106213.
Physician's Profile
Full Name | Venkata Vineeth Vaddavalli |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 200 1st St Sw, Rochester, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457106213
- Provider Enumeration Date: 04/23/2024
- Last Update Date: 03/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 9537607742
- Enrollment ID: I20240820000928
Medical Identifiers
Medical identifiers for Venkata Vineeth Vaddavalli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457106213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 34311 (Minnesota) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Venkata Vineeth Vaddavalli is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Venkata Vineeth Vaddavalli, MD 200 1st St Sw, Rochester, MN 55905-0002 Ph: () - | Venkata Vineeth Vaddavalli, MD 200 1st St Sw, Rochester, MN 55905-0002 Ph: (507) 778-6419 |
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