SAILAJA V VENTRAPRAGADA MD
NPI 1427235241
Internal Medicine - Nephrology in Ocala, FL

Active since January 23, 2008PECOS EnrolledAccepts Medicare Assignment
2980 SE 3RD CT, OCALA, FL 34471(352) 622-4231 Get Directions Write a Review

NPPES record last updated: May 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sailaja V Ventrapragada Md NPPES

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

SAILAJA V VENTRAPRAGADA MD (NPI 1427235241) is an individual nephrology provider in Ocala, Florida, licensed in Florida (ME 109713) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1427235241
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSAILAJA V VENTRAPRAGADACredential: MD
Location Address2980 SE 3RD CTOcala, FL 34471-0421
Mailing Address2980 Se 3rd CtOcala, FL 34471-0421 · (352) 622-4231
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 23, 2008
Last NPPES UpdateMay 5, 2011
NPI 1427235241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in FL · ME 109713
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.
2980 SE 3RD CT, Ocala, FL 34471

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

Sailaja V Ventrapragada 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 ID9931379955
PECOS Enrollment IDI20110831000315
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 12

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.
409 services195 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.
376 services133 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.
183 services93 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.
156 services140 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
115 services29 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
52 services52 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100062
Location1500 SW 1st AveOcala, FL 34474 · Marion County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100212
Location1431 SW 1st AveOcala, FL 34471 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
86%334 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
87%347 patients4/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers15 claims1,485 services$0.33 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims720 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers14 claims14 services$19.00 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims21 services$12.64 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 19

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

Internal Medicine (Nephrology)
2980 SE 3RD CT
OCALA, FL 34471
Nurse Practitioner
2980 SE 3RD CT
OCALA, FL 34471
Internal Medicine (Nephrology)
2980 SE 3RD CT
OCALA, FL 34471
Nurse Practitioner
2980 SE 3RD CT
OCALA, FL 34471
Nurse Practitioner (Gerontology)
2980 SE 3RD CT
OCALA, FL 34471
Internal Medicine (Critical Care Medicine)
2980 SE 3RD CT
OCALA, FL 34471
Nurse Practitioner (Family)
2980 SE 3RD CT
OCALA, FL 34471
Internal Medicine (Nephrology)
2980 SE 3RD CT
OCALA, FL 34471

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 Sailaja Ventrapragada's NPI number?

The NPI number for Sailaja Ventrapragada is 1427235241. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Sailaja Ventrapragada located?

Sailaja Ventrapragada practices at 2980 SE 3rd Ct, Ocala, FL 34471. The listed phone number is (352) 622-4231.

What is Sailaja Ventrapragada's specialty?

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

Is Sailaja Ventrapragada enrolled in Medicare?

Yes. Sailaja Ventrapragada 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 Sailaja Ventrapragada accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Sailaja Ventrapragada 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 Sailaja Ventrapragada affiliated with any hospitals?

According to CMS data, Sailaja Ventrapragada is affiliated with Adventhealth Ocala, Adventhealth Tampa and Marion Communtiy Hospital.

When was this NPI record last updated?

The NPPES record for Sailaja Ventrapragada was last updated on May 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.