JAY PUDUPAKKAM M.D.
NPI 1629086889
Internal Medicine in Dallas, TX

Active since August 04, 2006PECOS Enrolled
12221 MERIT DR STE 460, DALLAS, TX 75251(469) 374-3850(469) 374-3851 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jay Pudupakkam M.d. NPPES

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

JAY PUDUPAKKAM M.D. (NPI 1629086889) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (K4199) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629086889
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAY PUDUPAKKAMCredential: M.D.
Location Address12221 MERIT DR STE 460Dallas, TX 75251-2245
Mailing Address12221 Merit Dr Ste 460Dallas, TX 75251-2245 · (469) 374-3850 · Fax (469) 374-3851
Fax(469) 374-3851
Sole ProprietorYes
Enumeration DateAugust 4, 2006
Last NPPES UpdateApril 22, 2008
NPI 1629086889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · K4199
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.

12221 MERIT DR STE 460, Dallas, TX 75251

Other Identifiers 3

Medicare PIN8F1689TX
Medicare UPING31587TX
Medicaid141171205TX

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 (PECOS)

Jay Pudupakkam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75251 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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

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

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
2 suppliers13 claims13 services$60.25 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 3

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

Internal Medicine
12221 MERIT DR STE 460
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR STE 460
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR STE 460
DALLAS, TX 75251

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 Jay Pudupakkam's NPI number?

The NPI number for Jay Pudupakkam is 1629086889. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Jay Pudupakkam located?

Jay Pudupakkam practices at 12221 Merit Dr Ste 460, Dallas, TX 75251. The listed phone number is (469) 374-3850.

What is Jay Pudupakkam's specialty?

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

Is Jay Pudupakkam enrolled in Medicare?

Yes. Jay Pudupakkam is registered in the Medicare PECOS enrollment system.

What insurance does Jay Pudupakkam accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Jay Pudupakkam 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 Jay Pudupakkam was last updated on April 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.