PRADEEP KUMAR VAITLA MD
NPI 1255645446
Internal Medicine - Nephrology in Jackson, MS

Q: What is Pradeep Kumar Vaitla's NPI number?

The NPI number for Pradeep Kumar Vaitla is 1255645446. It was assigned to this individual provider in the NPPES registry on July 30, 2010.

Q: What is Pradeep Kumar Vaitla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since July 30, 2010PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

2500 NORTH STATE STREET, JACKSON, MS 39216(601) 984-5065(601) 984-2962 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 2, 2019, Sep 2, 2016 (2 updates tracked since 2016).

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About Pradeep Kumar Vaitla Md NPPES

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

PRADEEP KUMAR VAITLA MD (NPI 1255645446) is an individual nephrology provider in Jackson, Mississippi, licensed in Mississippi (24433) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1255645446

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NamePRADEEP KUMAR VAITLACredential: MD

Location Address2500 NORTH STATE STREETJackson, MS 39216-4500

Mailing Address2500 North State StreetJackson, MS 39216-4500 · (601) 984-5065 · Fax (601) 984-2962

Phone(601) 984-5065

Fax(601) 984-2962

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 30, 2010

Last NPPES UpdateJuly 2, 20192 updates tracked since enumeration

✔ NPI 1255645446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in MS · 24433✔ Licensed in LA · MD.206335

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2500 NORTH STATE STREET, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Pradeep Kumar Vaitla 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 ID5799900643

PECOS Enrollment IDI20160806000129

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 7

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.

557 services143 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.

372 services125 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

297 services174 patients

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.

127 services116 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.

85 services70 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.

56 services46 patients

Hospital Affiliations CMS Care Compare 4

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

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250001

Location2500 N State StJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

Bmh-Golden Triangle

Acute Care Hospitals · Columbus, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250100

Location2520 5th Street NColumbus, MS 39705 · Lowndes County

Emergency services Birthing friendly

University Of Mississippi Medical Center- Grenada

Acute Care Hospitals · Grenada, MS

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250168

Location960 Avent DriveGrenada, MS 38901 · Grenada County

Emergency services Birthing friendly

Baptist Medical Center-Yazoo

Critical Access Hospitals · Yazoo City, MS

OwnershipVoluntary non-profit - Private

CMS Certification Number251313

Location823 Grand AvenueYazoo City, MS 39194 · Yazoo County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Referred Medical Equipment & Supplies CMS DME claims 13

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

Azathioprine, oral, 50 mg J7500