DR. ARAVINDA REDDY M.D
NPI 1497948640
Internal Medicine - Nephrology in Elizabeth, NJ

Active since August 21, 2007PECOS EnrolledAccepts Medicare Assignment
97.78/100
CMS Quality Rating
240 WILLIAMSON ST, SUITE 205, ELIZABETH, NJ 07202(908) 289-8340(908) 576-3456 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, Apr 26, 2024, Jan 3, 2023 and 5 more (8 updates tracked since 2015).

About Dr. Aravinda Reddy M.d NPPES

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

DR. ARAVINDA REDDY M.D (NPI 1497948640) is an individual nephrology provider in Elizabeth, New Jersey, licensed in New Jersey (25MA08807500) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1497948640
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ARAVINDA REDDYCredential: M.D
Location Address240 WILLIAMSON ST, SUITE 205Elizabeth, NJ 07202-3674
Mailing Address1089 New Dover RdEdison, NJ 08820-1421 · (732) 247-2675 · Fax (732) 645-7457
Fax(908) 576-3456
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 21, 2007
Last NPPES UpdateNovember 19, 20248 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
NPI 1497948640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in NJ · 25MA08807500 Licensed in TX · M9585
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License M9585 (TX), 25MA08807500 (NJ), 201461 (LA)
240 WILLIAMSON ST, Elizabeth, NJ 07202

Other Names 1

Professional Name (2)Aravinda Pulakurthi Md

Other Identifiers 1

Medicaid0255467NJ

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. Aravinda Reddy 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 ID4981792231
PECOS Enrollment IDI20110412000707
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 13

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.
1,146 services162 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
219 services33 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.
215 services46 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
211 services57 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
209 services151 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.
127 services63 patients

Hospital Affiliations CMS Care Compare 3

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

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310027
Location225 Williamson StreetElizabeth, NJ 07207 · Union County
Emergency services Birthing friendly

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310074
Location355 Grand StreetJersey City, NJ 07302 · Hudson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07202 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.

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.

97.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost59.29

Reported Quality Measures

Breast Cancer Screening
99%206 patients5/55-star benchmark: 93%
Cervical Cancer Screening
97%179 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
95%20 patients5/55-star benchmark: 87%
Colorectal Cancer Screening
100%427 patients5/55-star benchmark: 88%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
0%22 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,717 patients5/55-star benchmark: 100%
e-Prescribing
92%3,243 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%331 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%681 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
99%717 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
84%724 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 442 patients
100%442 patients
Provide Patients Electronic Access to Their Health Information
100%812 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
97%209 patients5/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 353 patients
Patients totalRate: 2% · 353 patients
2%353 patients4/55-star benchmark: 100%
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

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 suppliers14 claims33 services$5.98 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.

Nurse Practitioner (Adult Health)
240 WILLIAMSON ST, SUITE 403
ELIZABETH, NJ 07202
Physician Assistant (Medical)
240 WILLIAMSON ST, SUITE 204
ELIZABETH, NJ 07202
Internal Medicine
240 WILLIAMSON ST, SUITE 204
ELIZABETH, NJ 07202
Internal Medicine (Cardiovascular Disease)
240 WILLIAMSON ST, SUITE 300
ELIZABETH, NJ 07202
Obstetrics & Gynecology (Maternal & Fetal Medicine)
240 WILLIAMSON ST, SUITE 405
ELIZABETH, NJ 07202
Internal Medicine
240 WILLIAMSON ST, SUITE 303
ELIZABETH, NJ 07202
Obstetrics & Gynecology
240 WILLIAMSON ST, SUITE 304
ELIZABETH, NJ 07202
Internal Medicine
240 WILLIAMSON ST, SUITE 506
ELIZABETH, NJ 07202

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 Aravinda Reddy's NPI number?

The NPI number for Aravinda Reddy is 1497948640. It was assigned to this individual provider in the NPPES registry on August 21, 2007. The provider is also known as Aravinda Pulakurthi MD.

Where is Aravinda Reddy located?

Aravinda Reddy practices at 240 Williamson St Suite 205, Elizabeth, NJ 07202. The listed phone number is (908) 289-8340.

What is Aravinda Reddy's specialty?

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

Is Aravinda Reddy enrolled in Medicare?

Yes. Aravinda Reddy 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 Aravinda Reddy accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Aravinda Reddy 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 Aravinda Reddy affiliated with any hospitals?

According to CMS data, Aravinda Reddy is affiliated with Robert Wood Johnson University Hospital At Rahway, Trinitas Regional Medical Center and Jersey City Medical Center.

When was this NPI record last updated?

The NPPES record for Aravinda Reddy was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.