JAYA PRAKASH BUDDINENI MD
NPI 1376742312
Internal Medicine - Critical Care Medicine in Milwaukee, WI

Active since July 11, 2007PECOS EnrolledAccepts Medicare Assignment
2901 W KINNICKINNIC RIVER PKWY, SUITE 315, MILWAUKEE, WI 53215(347) 387-3555 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2022, May 2, 2022, Nov 29, 2021 (3 updates tracked since 2021).

About Jaya Prakash Buddineni Md NPPES

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

JAYA PRAKASH BUDDINENI MD (NPI 1376742312) is an individual critical care medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (61965-20) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1376742312
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameJAYA PRAKASH BUDDINENICredential: MD
Location Address2901 W KINNICKINNIC RIVER PKWY, SUITE 315Milwaukee, WI 53215-3677
Mailing Address2901 W Kinnickinnic River Pkwy, Suite 315Milwaukee, WI 53215-3677 · (347) 387-3555
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 11, 2007
Last NPPES UpdateSeptember 18, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2023
NPI 1376742312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in WI · 61965-20 Licensed in NM · MD2021-0858 Licensed in TX · P9053 Licensed in WI · 61965
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2009010646 (MO), MD443321 (PA)
2901 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215

Secondary Practice Locations 4

Location 18010 State Line Rd Ste 100Prairie Village, KS 66208-3711 · Phone (816) 830-4285 · Fax (913) 400-3631
Location 22923 W Oklahoma AveMilwaukee, WI 53215-4329 · Phone (347) 387-3555
Location 3403 Burkarth RdWarrensburg, MO 64093-3101 · Phone (660) 747-5558
Location 41901 Red Rock DrGallup, NM 87301-5683 · Phone (505) 863-7000

Other Identifiers 1

Medicaid100038329WI

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

Jaya Prakash Buddineni 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 ID1850442997
PECOS Enrollment IDI20140604000694
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services42 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Nurse Practitioner
2901 W KINNICKINNIC RIVER PKWY, 305
MILWAUKEE, WI 53215
Nurse Practitioner
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Physical Therapist
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Nurse Practitioner
2901 W KINNICKINNIC RIVER PKWY, SUITE 106
MILWAUKEE, WI 53215
Physical Medicine & Rehabilitation
2901 W KINNICKINNIC RIVER PKWY, SUITE: 106
MILWAUKEE, WI 53215
Specialist (Research Study)
2901 W KINNICKINNIC RIVER PKWY, SUITE 414
MILWAUKEE, WI 53215
Physical Medicine & Rehabilitation
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Physician Assistant
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215

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 Jaya Buddineni's NPI number?

The NPI number for Jaya Buddineni is 1376742312. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Jaya Buddineni located?

Jaya Buddineni practices at 2901 W Kinnickinnic River Pkwy Suite 315, Milwaukee, WI 53215. The listed phone number is (347) 387-3555.

What is Jaya Buddineni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Jaya Buddineni enrolled in Medicare?

Yes. Jaya Buddineni 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 Jaya Buddineni accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and CareSource (Common Ground Healthcare) list Jaya Buddineni 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 Jaya Buddineni affiliated with any hospitals?

According to CMS data, Jaya Buddineni is affiliated with Aurora St Lukes Medical Center and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Jaya Buddineni was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.