MAMATHA GAJULAVARTHI
NPI 1205330107
Student in an Organized Health Care Education/Training Program in Mckeesport, PA

Active since March 23, 2018PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
UPMC MCKEESPORT INTERNAL MEDICINE CENTER, 1321 FIFTH AVENUE, MCKEESPORT, PA 15132(412) 664-2782(412) 664-2784 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mamatha Gajulavarthi NPPES

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

MAMATHA GAJULAVARTHI (NPI 1205330107) is an individual student in an organized health care education/training program in Mckeesport, Pennsylvania and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1205330107
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMAMATHA GAJULAVARTHI
Location AddressUPMC MCKEESPORT INTERNAL MEDICINE CENTER, 1321 FIFTH AVENUEMckeesport, PA 15132
Mailing AddressUpmc Mckeesport Internal Medicine Center, 1321 Fifth AvenueMckeesport, PA 15132 · (412) 664-2782 · Fax (412) 664-2784
Fax(412) 664-2784
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 23, 2018
NPI 1205330107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
UPMC MCKEESPORT INTERNAL MEDICINE CENTER, Mckeesport, PA 15132

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

Mamatha Gajulavarthi 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 ID1254720667
PECOS Enrollment IDI20211104002986
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
151 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services26 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
16 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

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 Mamatha Gajulavarthi's NPI number?

The NPI number for Mamatha Gajulavarthi is 1205330107. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Mamatha Gajulavarthi located?

Mamatha Gajulavarthi practices at Upmc Mckeesport Internal Medicine Center 1321 Fifth Avenue, Mckeesport, PA 15132. The listed phone number is (412) 664-2782.

What is Mamatha Gajulavarthi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mamatha Gajulavarthi enrolled in Medicare?

Yes. Mamatha Gajulavarthi 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 Mamatha Gajulavarthi affiliated with any hospitals?

According to CMS data, Mamatha Gajulavarthi is affiliated with Upmc Jameson, Heritage Valley Beaver, Upmc Passavant and Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Mamatha Gajulavarthi was last updated on March 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.