MITHILA GONGIREDDY MD
NPI 1366971814
Internal Medicine in Jersey City, NJ

Q: What is Mithila Gongireddy's NPI number?

The NPI number for Mithila Gongireddy is 1366971814. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Q: What is Mithila Gongireddy's specialty?

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

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment

355 GRAND ST, JERSEY CITY, NJ 07302(201) 915-2431 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2021, Aug 28, 2020, Jun 8, 2017 (3 updates tracked since 2017).

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About Mithila Gongireddy Md NPPES

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

MITHILA GONGIREDDY MD (NPI 1366971814) is an individual internal medicine provider in Jersey City, New Jersey, licensed in Indiana (01084333A) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1366971814

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMITHILA GONGIREDDYCredential: MD

Location Address355 GRAND STJersey City, NJ 07302-4321

Mailing Address250 N Shadeland Ave Ste 200Indianapolis, IN 46219-4959

Phone(201) 915-2431

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 8, 2017

Last NPPES UpdateJanuary 27, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2021

✔ NPI 1366971814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 01084333A

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

355 GRAND ST, Jersey City, NJ 07302

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

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

Mithila Gongireddy 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 ID9436576915

PECOS Enrollment IDI20200828001376

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

Medicare enrollment records show Mithila Gongireddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Health Medical Group, LLC

643 mi

General Practice

1701 N SENATE BLVD
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
5,212 clinicians in this Medicare group

NPI 1326893777 (317) 962-2000

University Family Physicians, Inc.

643 mi

Family Medicine

1701 N SENATE BLVD
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
737 clinicians in this Medicare group

NPI 1043275787 (317) 962-2000

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

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.

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.

257 services79 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.

167 services66 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.

42 services42 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07302 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier21 claims21 services$13.24 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier21 claims21 services$63.35 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JERSEY CITY CRITICAL CARE ASSOCIATES

Specialist

355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302

Hudson County (908) 806-8224

SHERIDAN ANESTHESIA SERVICES OF NEW JERSEY PC

Anesthesiology

355 GRAND ST
JERSEY CITY, NJ 07302

Hudson County (201) 915-2000

SAIRA SHAH MD

Internal Medicine

355 GRAND ST, MEDICINE DEPT,3RD FLOOR
JERSEY CITY, NJ 07302

Hudson County (201) 915-2000

SUSAN E. O'BRIEN DO

Emergency Medicine

355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302

Hudson County (201) 915-2000

DR. JARED SAUL KROK M.D.

Internal Medicine

355 GRAND ST
JERSEY CITY, NJ 07302

Hudson County (201) 915-2431

ANIELLO SEMIOLI LSW

Social Worker

355 GRAND ST
JERSEY CITY, NJ 07302

Hudson County (201) 492-1296

SUMEETA BHOGAL MD

Student in an Organized Health Care Education/Training Program

355 GRAND ST
JERSEY CITY, NJ 07302

Hudson County (201) 915-2000

LIBERTY EMERGENCY MEDICAL ASSOCIATES LLC

Emergency Medicine

355 GRAND ST, JERSEY CITY MEDICAL CENTER ( EMERGENCY DEPARTMENT)
JERSEY CITY, NJ 07302

Hudson County (469) 401-2386

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 Mithila Gongireddy's NPI number?

The NPI number for Mithila Gongireddy is 1366971814. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Mithila Gongireddy located?

Mithila Gongireddy practices at 355 Grand St, Jersey City, NJ 07302. The listed phone number is (201) 915-2431.

What is Mithila Gongireddy's specialty?

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

Is Mithila Gongireddy enrolled in Medicare?

Yes. Mithila Gongireddy 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 Mithila Gongireddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mithila Gongireddy reassigns Medicare benefits to 2 organizations: Iu Health Medical Group, LLC (Indianapolis, IN) and University Family Physicians, Inc. (Indianapolis, IN). 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 Mithila Gongireddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mithila Gongireddy accept?

Health plans from CareSource and Cigna Healthcare list Mithila Gongireddy 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.

Is Mithila Gongireddy affiliated with any hospitals?

According to CMS data, Mithila Gongireddy is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Mithila Gongireddy was last updated on January 27, 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.