Venkatramana R Vattipally Iv, MD - Medicare Diagnostic Radiology in Grand Rapids, MI

Venkatramana R Vattipally Iv, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Rapids, Michigan. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Advanced Radiology Services Pc, Spartan Radiology Inc and his current practice location is 3264 N Evergreen Drive Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 363-7272.

Venkatramana R Vattipally Iv is licensed to practice in Michigan (license number 4301072639) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538130224.

Contact Information

Venkatramana R Vattipally Iv, MD
3264 N Evergreen Drive Ne,
Grand Rapids, MI 49525
(616) 363-7272
(616) 361-5828



Physician's Profile

Full NameVenkatramana R Vattipally Iv
GenderMale
SpecialityDiagnostic Radiology
Experience30 Years
Location3264 N Evergreen Drive Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Venkatramana R Vattipally Iv graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1538130224
  • Provider Enumeration Date: 01/30/2006
  • Last Update Date: 06/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9537139381
  • Enrollment ID: I20040731000152

Medical Identifiers

Medical identifiers for Venkatramana R Vattipally Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538130224NPI-NPPES
4786020MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0700XRadiology - Neuroradiology 4301072639 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology 4301072639 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Covenant Medical CenterSaginaw, MIHospital
Spectrum HealthGrand rapids, MIHospital
Bronson Methodist HospitalKalamazoo, MIHospital
Midmichigan Medical Center-midlandMidland, MIHospital
Lakeland Hospital, St JosephSt joseph, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Radiology Services Pc4284546516235
Spartan Radiology Inc5698003697179

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Venkatramana R Vattipally Iv allows following entities to bill medicare on his behalf.
Entity NameAdvanced Radiology Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740283324
PECOS PAC ID: 4284546516
Enrollment ID: O20031104000494

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Entity NameAdvanced Diagnostic Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245299494
PECOS PAC ID: 3779489224
Enrollment ID: O20031208000473

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Entity NameCovenant Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972590412
PECOS PAC ID: 2769387778
Enrollment ID: O20031209000107

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Entity NameSpartan Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932768058
PECOS PAC ID: 5698003697
Enrollment ID: O20190829001596

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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. Venkatramana R Vattipally Iv 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 AddressPractice Location Address
Venkatramana R Vattipally Iv, MD
3264 N Evergreen Drive Ne,
Grand Rapids, MI 49525

Ph: (616) 363-7272
Venkatramana R Vattipally Iv, MD
3264 N Evergreen Drive Ne,
Grand Rapids, MI 49525

Ph: (616) 363-7272

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Radiology Doctors in Grand Rapids, MI

Dr. Jon R Henke, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7272    Fax: 616-363-7290
Geoffrey M. Remes, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7339    Fax: 616-361-5828
Jan L Mourelatos, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7272    Fax: 616-361-5828
Dr. Brendan Michael Banyon, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7272    
Dr. Joseph J Junewick, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7272    Fax: 616-363-7290
Keith Alan Morrow, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7339    Fax: 616-361-5828
Dr. Andrew Kent Moriarity, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7339    

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