DR. VINEELA R PODDATOORI (MD) – Obstetrics & Gynecology Physician, NPI 1205017589

DR. VINEELA R PODDATOORI (MD) is a healthcare provider. based in Lafayette, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. A97939 (CA). The NPI Number for DR. VINEELA R PODDATOORI (MD) is 1205017589

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. VINEELA R PODDATOORI (MD)
NPI
1205017589
Phone
(510) 204-5600
Address
3595 Mt Diablo Blvd Ste 350
Enumeration Date
15 November 2007
Last Update Date
28 January 2025

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5104901222
Graduation Year
2005 (21 years ago)
PAC ID
5698811214
Group Practice PAC ID
4284538778
Professional Enrollment ID
I20091012000279
Address ID
CA945382299FR3200XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,007 OBSTETRICS/GYNECOLOGY in CA

Provider Addresses for DR. VINEELA R PODDATOORI (MD)

  • 3595 Mt Diablo Blvd Ste 350

    Lafayette, CA 945493849

    Phone: (510) 204-5600

    Type: Location

  • Santa Clara Valley Medical Center, 751, South Bascom Avenue, Buena Vista, San Jose, Santa Clara County, California, 95128, United States

    OB GYN

    SAN JOSE, CA 951282604

    Phone: (408) 885-5000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091012000279IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1513$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1313$0
View full utilization report →

Insurance plans in this area (ZIP 94549)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284538778View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
A L L E R G Y/ I M M U N O L O G YCA
-CA
Hospitalist, Obstetrics/GynecologyCA
O B S T E T R I C S/ G Y N E C O L O G YOR
-CA
-CA
-CA
-CA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

How do payers reference DR. VINEELA R PODDATOORI (MD)?
For DR. VINEELA R PODDATOORI (MD), use NPI 1205017589 as the unique 10-digit identifier.
Is there an active status for DR. VINEELA R PODDATOORI (MD)?
For scheduling context, DR. VINEELA R PODDATOORI (MD) is shown as active in the registry.
What area of care is associated with DR. VINEELA R PODDATOORI (MD)?
DR. VINEELA R PODDATOORI (MD)'s record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. VINEELA R PODDATOORI (MD)?
Directory geography for DR. VINEELA R PODDATOORI (MD) centers on Lafayette, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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