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DR. RADHIKA NAGA AYYAGARI MD
NPI 1598109753
Internal Medicine - Gastroenterology in Avon, CT

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
PRIME HEALTHCARE PC, 44 DALE RD, AVON, CT 06001(860) 674-8830(860) 674-8984 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2021, May 22, 2019, Mar 23, 2016 (3 updates tracked since 2016).

About Dr. Radhika Naga Ayyagari Md NPPES

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

DR. RADHIKA NAGA AYYAGARI MD (NPI 1598109753) is an individual gastroenterology provider in Avon, Connecticut, licensed in Connecticut (63734) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1598109753
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RADHIKA NAGA AYYAGARICredential: MD
Location AddressPRIME HEALTHCARE PC, 44 DALE RDAvon, CT 06001-4320
Mailing Address30 Jordan LnWethersfield, CT 06109-1278 · (602) 630-2538 · Fax (860) 263-0262
Phone(860) 674-8830
Fax(860) 674-8984
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 18, 2013
Last NPPES UpdateJune 23, 20213 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1598109753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CT · 63734
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
PRIME HEALTHCARE PC, Avon, CT 06001
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Radhika Naga Ayyagari 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 ID9335431386
PECOS Enrollment IDI20190703000610
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 Reassignment

Medicare enrollment records show Radhika Ayyagari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prime Healthcare, PC
10 mi
Internal Medicine
30 JORDAN LN
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 116 clinicians in this Medicare group
NPI 1184819302 (860) 263-0253

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 9

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 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.
96 services62 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
61 services61 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.
60 services58 patients
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.
53 services50 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.
48 services44 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
46 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06001 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Radhika Ayyagari's NPI number?

The NPI number for Radhika Ayyagari is 1598109753. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Radhika Ayyagari located?

Radhika Ayyagari practices at Prime Healthcare PC 44 Dale Rd, Avon, CT 06001. The listed phone number is (860) 674-8830.

What is Radhika Ayyagari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Radhika Ayyagari enrolled in Medicare?

Yes. Radhika Ayyagari 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 organization bills Medicare for Radhika Ayyagari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Radhika Ayyagari reassigns Medicare benefits to Prime Healthcare, PC (Wethersfield, CT). The 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 Radhika Ayyagari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Radhika Ayyagari accept?

Health plans from Anthem Blue Cross and Blue Shield list Radhika Ayyagari 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 Radhika Ayyagari was last updated on June 23, 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.