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PADMAVATHI JONNALAGADDA MD
NPI 1144228891
Internal Medicine in Jersey City, NJ

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
98.67/100
CMS Quality Rating
3438 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07307(201) 420-0366(201) 420-6422 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Padmavathi Jonnalagadda Md NPPES

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

PADMAVATHI JONNALAGADDA MD (NPI 1144228891) is an individual internal medicine provider in Jersey City, New Jersey, licensed in New Jersey (25MA07442900) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1144228891
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePADMAVATHI JONNALAGADDACredential: MD
Location Address3438 JOHN F KENNEDY BLVDJersey City, NJ 07307-4166
Mailing Address3438 John F Kennedy BlvdJersey City, NJ 07307-4166 · (201) 420-0366 · Fax (201) 420-6422
Phone(201) 420-0366
Fax(201) 420-6422
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 7, 2005
Last NPPES UpdateJanuary 25, 2012
✔ NPI 1144228891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA07442900✔ Licensed in NY · 225330-1
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.
3438 JOHN F KENNEDY BLVD, Jersey City, NJ 07307
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Other Identifiers 9

OtherP00089969NJ · Railroad Medicare Individ
OtherDB2462NJ · Railroad Medicare Group #
Medicare ID-Type Unspecified067842SJ1NJ · Individual Number
Medicaid0036536NJ
Medicare ID-Type Unspecified077061NJ · Group Number
Medicaid02511508NY
Other043714808NJ · Horizon B/ C B/s
Medicare UPINH79746NJ
Medicaid9006508NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Padmavathi Jonnalagadda 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 ID941297931
PECOS Enrollment IDI20040504000312
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Padmavathi Jonnalagadda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Padmavathi Jonnalagadda MD PA
2.6 mi
Internal Medicine
3438 JOHN F KENNEDY BLVD
Jersey City, NJ 07307
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1821096504 (201) 420-0366
Valley Physician Services PC
13 mi
Internal Medicine
15 ESSEX RD
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 833 clinicians in this Medicare group
NPI 1467815928 (201) 291-6086

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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07307 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.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.57
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
38%52 patients2/55-star benchmark: 96%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
55%77 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
79%291 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%221 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
6%109 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%191 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%109 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
8%109 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

VASUDEVARAO JONNALAGADDA MD
Internal Medicine (Nephrology)
3438 JOHN F KENNEDY BLVD
JERSEY CITY, NJ 07307
Hudson County (201) 420-0366
PADMAVATHI JONNALAGADDA MD PA
Internal Medicine
3438 JOHN F KENNEDY BLVD
JERSEY CITY, NJ 07307
Hudson County (201) 420-0366

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 Padmavathi Jonnalagadda's NPI number?

The NPI number for Padmavathi Jonnalagadda is 1144228891. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Padmavathi Jonnalagadda located?

Padmavathi Jonnalagadda practices at 3438 John F Kennedy Blvd, Jersey City, NJ 07307. The listed phone number is (201) 420-0366.

What is Padmavathi Jonnalagadda's specialty?

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

Is Padmavathi Jonnalagadda enrolled in Medicare?

Yes. Padmavathi Jonnalagadda 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 Padmavathi Jonnalagadda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Padmavathi Jonnalagadda reassigns Medicare benefits to 2 organizations: Padmavathi Jonnalagadda MD PA (Jersey City, NJ) and Valley Physician Services PC (Paramus, 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 Padmavathi Jonnalagadda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Padmavathi Jonnalagadda accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Padmavathi Jonnalagadda 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 Padmavathi Jonnalagadda affiliated with any hospitals?

According to CMS data, Padmavathi Jonnalagadda is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Padmavathi Jonnalagadda was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.