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HEMAMALINI DANTULURI MD
NPI 1235289307
Hospitalist in Plainfield, NJ

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
45.93/100
CMS Quality Rating
MRMC PARK AVE AND RANDOLPH RD, PLAINFIELD, NJ 07061(908) 668-2265 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hemamalini Dantuluri Md NPPES

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

HEMAMALINI DANTULURI MD (NPI 1235289307) is an individual hospitalist provider in Plainfield, New Jersey, licensed in New Jersey (25MA07992500) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1235289307
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameHEMAMALINI DANTULURICredential: MD
Location AddressMRMC PARK AVE AND RANDOLPH RDPlainfield, NJ 07061
Mailing Address21 Heritage DrEdison, NJ 08820-1632 · (908) 668-2265
Phone(908) 668-2265
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235289307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MA07992500
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
MRMC PARK AVE AND RANDOLPH RD, Plainfield, NJ 07061
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Other Identifiers 2

Medicare UPINI47001NJ
Medicare ID-Type Unspecified096638UVFNJ

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

Hemamalini Dantuluri 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 ID345261384
PECOS Enrollment IDI20051219000079
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 6

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 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.
677 services273 patients
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.
276 services139 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.
180 services178 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.
143 services142 patients
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.
36 services36 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07061 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.

45.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality26.58
Improvement Activities40
Cost27.64

Reported Quality Measures

Advance Care Plan
100%755 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%417 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.

Other Providers at the Same Location NPPES

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

VYSHALI S SHETTY MD
Hospitalist
MRMC PARK AVE AND RANDOLPH RD
PLAINFIELD, NJ 07061
Union County (908) 668-2265

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 Hemamalini Dantuluri's NPI number?

The NPI number for Hemamalini Dantuluri is 1235289307. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Hemamalini Dantuluri located?

Hemamalini Dantuluri practices at Mrmc Park Ave And Randolph Rd, Plainfield, NJ 07061. The listed phone number is (908) 668-2265.

What is Hemamalini Dantuluri's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Hemamalini Dantuluri enrolled in Medicare?

Yes. Hemamalini Dantuluri 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 Hemamalini Dantuluri affiliated with any hospitals?

According to CMS data, Hemamalini Dantuluri is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Hemamalini Dantuluri 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.