DR. SRINIVASA REDDY VAKA (MD) – Internal Medicine Physician, NPI 1184863938

DR. SRINIVASA REDDY VAKA (MD) is a healthcare provider. based in Maple grove, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. E7137 (AR). The NPI Number for DR. SRINIVASA REDDY VAKA (MD) is 1184863938

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. SRINIVASA REDDY VAKA (MD)
NPI
1184863938
Phone
(763) 268-0400
Address
FAIRVIEW CLINICS-BASS LAKE
Enumeration Date
17 February 2009
Last Update Date
23 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632680400
Graduation Year
1997 (29 years ago)
PAC ID
3971775974
Group Practice PAC ID
7113830142
Professional Enrollment ID
I20191010001272
Address ID
MN553113647MA6320XNXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

3,638 INTERNAL MEDICINE in MN

Provider Addresses for DR. SRINIVASA REDDY VAKA (MD)

  • FAIRVIEW CLINICS-BASS LAKE

    6320 WEDGWOOD RD N

    MAPLE GROVE, MN 553113647

    Phone: (763) 268-0400

    Fax: (763) 268-0405

    Type: Mailing

  • 1 Medical Park Dr

    Benton, AR 720153353

    Phone: (501) 776-6093

    Fax: (501) 776-6019

    Type: Location

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: 2019-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150821013136IInternal MedicinePATBD
I20191010001272IInternal MedicineMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes166115$0
36415Insertion of needle into vein for collection of blood sample6349$0
99213Established patient office or other outpatient visit, 20-29 minutes2928$0
80048Blood test, basic group of blood chemicals (calcium, total)2724$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2424$0
View full utilization report →

Insurance plans in this area (ZIP 55311)

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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: 7113830142View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. SRINIVASA REDDY VAKA (MD) in U.S. healthcare records?
The official identifier for DR. SRINIVASA REDDY VAKA (MD) is NPI 1184863938.
Would DR. SRINIVASA REDDY VAKA (MD) appear as active to a payer?
You can treat DR. SRINIVASA REDDY VAKA (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. SRINIVASA REDDY VAKA (MD)'s focus?
For DR. SRINIVASA REDDY VAKA (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is DR. SRINIVASA REDDY VAKA (MD) registered?
Use Maple Grove, Minnesota as the headline location for DR. SRINIVASA REDDY VAKA (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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