DR. TANUJA TEJESVI PENMATSA M.D
NPI 1295962363
Obstetrics & Gynecology in Jacksonville, FL

Active since June 16, 2009PECOS EnrolledAccepts Medicare Assignment
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 202-2000 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2026, Feb 17, 2025 (2 updates tracked since 2025).

About Dr. Tanuja Tejesvi Penmatsa M.d NPPES

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

DR. TANUJA TEJESVI PENMATSA M.D (NPI 1295962363) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in New Jersey (25MA09783400) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1295962363
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. TANUJA TEJESVI PENMATSACredential: M.D
Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202
Mailing Address707 Greenland SqHighland Park, NJ 08904-2773
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 16, 2009
Last NPPES UpdateMay 8, 20262 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
NPI 1295962363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in NJ · 25MA09783400 Licensed in FL · ME164714
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
800 PRUDENTIAL DR, Jacksonville, FL 32207

Accepted 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

Dr. Tanuja Tejesvi Penmatsa 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 ID8224263603
PECOS Enrollment IDI20160229000464
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Physical Therapist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Nurse Practitioner (Neonatal)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Pathology (Anatomic Pathology & Clinical Pathology)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Registered Nurse (Medical-Surgical)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207

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 Tanuja Penmatsa's NPI number?

The NPI number for Tanuja Penmatsa is 1295962363. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Tanuja Penmatsa located?

Tanuja Penmatsa practices at 800 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 202-2000.

What is Tanuja Penmatsa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tanuja Penmatsa enrolled in Medicare?

Yes. Tanuja Penmatsa 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.

What insurance does Tanuja Penmatsa accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Tanuja Penmatsa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanuja Penmatsa was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.