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NITYANANDA RAO JAKKULA MD
NPI 1225700933
Orthopaedic Surgery - Orthopaedic Trauma in Elmhurst, NY

Active since September 30, 2021PECOS EnrolledAccepts Medicare Assignment
7901 BROADWAY DEPT OF, ELMHURST, NY 11373(662) 394-5006 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nityananda Rao Jakkula Md NPPES

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

NITYANANDA RAO JAKKULA MD (NPI 1225700933) is an individual orthopaedic trauma provider in Elmhurst, New York, licensed in New York (P109867) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Hospital Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1225700933
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameNITYANANDA RAO JAKKULACredential: MD
Location Address7901 BROADWAY DEPT OFElmhurst, NY 11373-1329
Mailing Address1882 Mcclain DrGreenville, MS 38701-7623 · (662) 394-5006
Phone(662) 394-5006
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 30, 2021
NPPES CertifiedSeptember 30, 2021
✔ NPI 1225700933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
Licenses✔ Licensed in NY · P109867✔ Licensed in NY · 109867
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
7901 BROADWAY DEPT OF, Elmhurst, NY 11373
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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

Nityananda Rao Jakkula 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 ID8123557170
PECOS Enrollment IDI20250121002729
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

6

Medicare enrollment records show Nityananda Rao Jakkula reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Icahn School Of Medicine At Mount Sinai
Same address
Obstetrics & Gynecology
7901 BROADWAY
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 836 clinicians in this Medicare group
NPI 1578817540 (718) 334-1591
Shakespeare Operating LLC
6.8 mi
Multi-Specialty
1250 SHAKESPEARE AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 272 clinicians in this Medicare group
NPI 1720634538 (718) 583-7736
House Call Medical Services Of New York, PLLC
6.8 mi
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
NPI 1851345946 (718) 294-6200
Essen Medical Associates,pc
6.8 mi
Legal Medicine
19544 WOODHULL AVE
Jamaica, NY 11423
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
NPI 1700023926 (718) 740-3500
Bronx Medical Practice P.C.
7.2 mi
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
NPI 1356726087 (646) 340-1309
Essen Medical Urgicare, PLLC
7.2 mi
Urgent Care
1550 UNIVERSITY AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1841607298 (718) 583-7736

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Elmhurst Hospital Center

Acute Care Hospitals · Elmhurst, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330128
Location79-01 BroadwayElmhurst, NY 11373 · Queens County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

ALEXIS CARRINGTON MD
Student in an Organized Health Care Education/Training Program
7901 BROADWAY DEPT OF
ELMHURST, NY 11373
Queens County (718) 334-3440
DR. NICOLE PORTI M.D.
Pediatrics (Pediatric Emergency Medicine)
7901 BROADWAY DEPT OF
ELMHURST, NY 11373
Queens County (718) 334-1591
DR. ADEL ZAKHARIA MD
Student in an Organized Health Care Education/Training Program
7901 BROADWAY DEPT OF
ELMHURST, NY 11373
Queens County (718) 334-2663

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 Nityananda Rao Jakkula's NPI number?

The NPI number for Nityananda Rao Jakkula is 1225700933. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Where is Nityananda Rao Jakkula located?

Nityananda Rao Jakkula practices at 7901 Broadway Dept Of, Elmhurst, NY 11373. The listed phone number is (662) 394-5006.

What is Nityananda Rao Jakkula's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Nityananda Rao Jakkula enrolled in Medicare?

Yes. Nityananda Rao Jakkula 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 Nityananda Rao Jakkula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nityananda Rao Jakkula reassigns Medicare benefits to 6 organizations: Icahn School Of Medicine At Mount Sinai (Elmhurst, NY), Shakespeare Operating LLC (Bronx, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Essen Medical Associates,pc (Jamaica, NY), Bronx Medical Practice P.C. (Bronx, NY) and 1 more organization, listed in the Medicare section above. 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 Nityananda Rao Jakkula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nityananda Rao Jakkula affiliated with any hospitals?

According to CMS data, Nityananda Rao Jakkula is affiliated with Elmhurst Hospital Center.

When was this NPI record last updated?

The NPPES record for Nityananda Rao Jakkula was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.