DR. KESAVARAO MITTAPALLI MD
NPI 1043258023
Internal Medicine in Hackensack, NJ
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
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Kesavarao Mittapalli reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hackensack, NJ 07601
- Reassigned Medicare billing, New Jersey enrollment
- 110 clinicians in this Medicare group
Yonkers, NY 10701
- Reassigned Medicare billing, New York enrollment
- 130 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NJPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Kesavarao Mittapalli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kesavarao Mittapalli reassigns Medicare benefits to 4 organizations: Cogent Healthcare Of New Jersey, PC (Hackensack, NJ), Symphony Medical PC (Yonkers, NY), Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kesavarao Mittapalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kesavarao Mittapalli accept?
Health plans from Oscar Health list Kesavarao Mittapalli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kesavarao Mittapalli, MD · NPI 1043258023
Internal Medicine physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since June 3, 2006.
## Identity
- **NPI:** 1043258023 (Entity type: Individual)
- **Enumerated:** June 3, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MA05903900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 PROSPECT AVE, FACULTY PRACTICE OFFICE, Hackensack, NJ 07601-1914
- **Phone:** (201) 996-2816
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Cogent Healthcare Of New Jersey, PC (NPI 1629304290, Hackensack, NJ); Symphony Medical PC (NPI 1043735137, Yonkers, NY); Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1979
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 793762 (NJ); Medicare UPIN G12899
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Source: [NPI Profile](https://npiprofile.com/npi/1043258023) · Data from the CMS NPPES public registry.