DR. KESAVARAO MITTAPALLI MD
NPI 1043258023
Internal Medicine in Hackensack, NJ

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
30 PROSPECT AVE, FACULTY PRACTICE OFFICE, HACKENSACK, NJ 07601(201) 996-2816 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kesavarao Mittapalli Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KESAVARAO MITTAPALLI MD (NPI 1043258023) is an individual internal medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MA05903900) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1043258023
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KESAVARAO MITTAPALLICredential: MD
Location Address30 PROSPECT AVE, FACULTY PRACTICE OFFICEHackensack, NJ 07601-1914
Mailing Address280 Henry StParamus, NJ 07652-4536 · (201) 261-0262
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJune 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1043258023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA05903900
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

30 PROSPECT AVE, Hackensack, NJ 07601

Other Identifiers 2

Medicare ID-Type Unspecified793762NJ
Medicare UPING12899

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kesavarao Mittapalli Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284613522
PECOS Enrollment IDI20040720000804
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.98
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kesavarao Mittapalli's NPI number?

The NPI number for Kesavarao Mittapalli is 1043258023. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Kesavarao Mittapalli located?

Kesavarao Mittapalli practices at 30 Prospect Ave Faculty Practice Office, Hackensack, NJ 07601. The listed phone number is (201) 996-2816.

What is Kesavarao Mittapalli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kesavarao Mittapalli enrolled in Medicare?

Yes. Kesavarao Mittapalli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kesavarao Mittapalli affiliated with any hospitals?

According to CMS data, Kesavarao Mittapalli is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Kesavarao Mittapalli was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.