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PRAPHULLA HEBBALALU M.D.
NPI 1174549331
Internal Medicine in Newtown Square, PA

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
87.02/100
CMS Quality Rating
15 CAMPUS BLVD, SUITE 200, NEWTOWN SQUARE, PA 19073(484) 454-6268 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Praphulla Hebbalalu M.d. NPPES

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

PRAPHULLA HEBBALALU M.D. (NPI 1174549331) is an individual internal medicine provider in Newtown Square, Pennsylvania, licensed in New Jersey (25MA07997600) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1174549331
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRAPHULLA HEBBALALUCredential: M.D.
Location Address15 CAMPUS BLVD, SUITE 200Newtown Square, PA 19073-3200
Mailing Address214 Hampshire DrPlainsboro, NJ 08536-4346 · (732) 750-5951
Phone(484) 454-6268
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174549331 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 · 25MA07997600
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.
15 CAMPUS BLVD, Newtown Square, PA 19073
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Other Identifiers 1

Medicare UPINI50070NJ

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

Praphulla Hebbalalu M.d. 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 ID5890701932
PECOS Enrollment IDI20060228000221
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
981 services279 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
203 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
153 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
114 services112 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.
95 services92 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
64 services30 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19073 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

87.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.48
Improvement Activities40
Cost66.71

Reported Quality Measures

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…
100%387 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$74.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

ROBERT RICCARDO CORRATO M.D.
Internal Medicine
15 CAMPUS BLVD, SUITE 200
NEWTOWN SQUARE, PA 19073
Delaware County (484) 454-6268
DR. LLOYD G LAMPERSKI MD
Specialist
15 CAMPUS BLVD
NEWTOWN SQUARE, PA 19073
Delaware County (610) 446-6100
ROSEMARY HORSTMAN MD
Emergency Medicine
15 CAMPUS BLVD
NEWTOWN SQUARE, PA 19073
Delaware County (877) 347-3627
DR. TROY D B LYONS MD
Pediatrics
15 CAMPUS BLVD
NEWTOWN SQUARE, PA 19073
Delaware County (484) 567-5147
DR. JO-ANN RETEGUIZ M.D.
Internal Medicine
15 CAMPUS BLVD
NEWTOWN SQUARE, PA 19073
Delaware County (610) 557-2262
EXECUTIVE HEALTH RESOURCES CLINICAL STAFFING SOLUTIONS PC
Internal Medicine
15 CAMPUS BLVD, SUITE 200
NEWTOWN SQUARE, PA 19073
Delaware County (484) 454-6268
SYLVAN HUREWITZ M.D.
Internal Medicine
15 CAMPUS BLVD
NEWTOWN SQUARE, PA 19073
Delaware County (610) 557-2484
SPENCER L PENN D.O.
Emergency Medicine
15 CAMPUS BLVD, SUITE 200
NEWTOWN SQUARE, PA 19073
Delaware County (484) 420-2554

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 Praphulla Hebbalalu's NPI number?

The NPI number for Praphulla Hebbalalu is 1174549331. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Praphulla Hebbalalu located?

Praphulla Hebbalalu practices at 15 Campus Blvd Suite 200, Newtown Square, PA 19073. The listed phone number is (484) 454-6268.

What is Praphulla Hebbalalu's specialty?

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

Is Praphulla Hebbalalu enrolled in Medicare?

Yes. Praphulla Hebbalalu 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 Praphulla Hebbalalu affiliated with any hospitals?

According to CMS data, Praphulla Hebbalalu is affiliated with University Medical Center Of Princeton At Plainsboro.

When was this NPI record last updated?

The NPPES record for Praphulla Hebbalalu 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.