NIRMAL KUMAR REDDY ONTEDDU M.D
NPI 1629521075
Hospitalist in Jacksonville, FL

Q: What is Nirmal Onteddu's NPI number?

The NPI number for Nirmal Onteddu is 1629521075. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Q: What is Nirmal Onteddu's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nirmal Onteddu was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 02, 2016PECOS EnrolledAccepts Medicare Assignment

81.9/100

CMS Quality Rating

820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207(904) 202-3860(904) 202-3846 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2026, Sep 27, 2019 (2 updates tracked since 2019).

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About Nirmal Kumar Reddy Onteddu M.d NPPES

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

NIRMAL KUMAR REDDY ONTEDDU M.D (NPI 1629521075) is an individual hospitalist provider in Jacksonville, Florida, licensed in Florida (ME161424) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1629521075

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameNIRMAL KUMAR REDDY ONTEDDUCredential: M.D

Location Address820 PRUDENTIAL DR STE 304Jacksonville, FL 32207-8205

Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075

Phone(904) 202-3860

Fax(904) 202-3846

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 2, 2016

Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1629521075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in FL · ME161424✔ Licensed in AL · 38489

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME161424 (FL)

820 PRUDENTIAL DR STE 304, Jacksonville, FL 32207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Nirmal Kumar Reddy Onteddu 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 ID4284922972

PECOS Enrollment IDI20191003002980, I20230525000507

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 Reassignments

Medicare enrollment records show Nirmal Onteddu reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Primary Care Inc

Same address

Infectious Disease

820 PRUDENTIAL DR, SUITE 515
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
569 clinicians in this Medicare group

NPI 1588846869 (904) 396-4886

University Of Florida Jacksonville Physicians Inc

2.1 mi

Neurological Surgery

580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
1,456 clinicians in this Medicare group

NPI 1225298599 (904) 244-3660

Cogent Healthcare Of Jacksonville, LLC

2.3 mi

Internal Medicine

655 W 8TH ST
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
440 clinicians in this Medicare group

NPI 1124252333 (904) 244-3850

Flowers Hb Medical Services LLC

234 mi

Emergency Medicine

4370 W MAIN ST
Dothan, AL 36305

Reassigned Medicare billing, Alabama enrollment
252 clinicians in this Medicare group

NPI 1972283828 (334) 793-5000

Sound Physicians Of Florida Vi LLC

299 mi

Internal Medicine

4725 N FEDERAL HWY
Fort Lauderdale, FL 33308

Reassigned Medicare billing, Florida enrollment
197 clinicians in this Medicare group

NPI 1417761073 (954) 771-8000

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 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.

180 services66 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.

133 services81 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.

85 services55 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

47 services30 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

37 services31 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

29 services29 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

21 services21 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

20 services20 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

20 services20 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

19 services19 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.

19 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

17 services14 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.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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.

81.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.43

Promoting Interoperability

100

Improvement Activities

Cost

59.59

Referred Medical Equipment & Supplies CMS DME claims 5

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers17 claims17 services$72.08 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers50 claims54 services$18.81 avg. paid by Medicare

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

7 suppliers72 claims76 services$101.48 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$36.78 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers12 claims12 services$27.78 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.

SANDRELA MUSSALLAM ABU SHAIBEH

Hospitalist