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DR. SUJATHA MUPPALA M.D.
NPI 1275730053
Internal Medicine in Edison, NJ

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
1 ETHEL RD STE 106A, EDISON, NJ 08817(732) 902-6006(732) 902-6005 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sujatha Muppala M.d. NPPES

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

DR. SUJATHA MUPPALA M.D. (NPI 1275730053) is an individual internal medicine provider in Edison, New Jersey, licensed in New Jersey (25MA08642700) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and maintains a secondary practice location in Plainfield.

NPPES Registry Identity

NPI1275730053
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUJATHA MUPPALACredential: M.D.
Location Address1 ETHEL RD STE 106AEdison, NJ 08817
Mailing Address1700 Myrtle AvePlainfield, NJ 07063-1000 · (908) 753-6401 · Fax (908) 226-6743
Phone(732) 902-6006
Fax(732) 902-6005
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 27, 2007
Last NPPES UpdateJuly 5, 2018
✔ NPI 1275730053 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 · 25MA08642700
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.
1 ETHEL RD STE 106A, Edison, NJ 08817
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Other Names 1

Professional Name (2)Dr. Sujatha Muppala Md

Secondary Practice Location 1

Location 11700 Myrtle AvePlainfield, NJ 07063-1000 · Phone (908) 753-6401 ext. 1775 · Fax (908) 226-6743

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

Dr. Sujatha Muppala 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 ID4486813698
PECOS Enrollment IDI20120307000724
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 4

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.
117 services55 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.
82 services41 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
28 services28 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.
26 services26 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 08817 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers17 claims33 services$4.98 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims14 services$0.89 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier12 claims360 services$4.35 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers18 claims19 services$35.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sujatha Muppala's NPI number?

The NPI number for Sujatha Muppala is 1275730053. It was assigned to this individual provider in the NPPES registry on June 27, 2007. The provider is also known as Dr. Sujatha Muppala MD.

Where is Sujatha Muppala located?

Sujatha Muppala practices at 1 Ethel Rd Ste 106A, Edison, NJ 08817. The listed phone number is (732) 902-6006.

What is Sujatha Muppala's specialty?

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

Is Sujatha Muppala enrolled in Medicare?

Yes. Sujatha Muppala 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 Sujatha Muppala affiliated with any hospitals?

According to CMS data, Sujatha Muppala is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Sujatha Muppala was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.