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HEMA JONNALAGADDA M.D.
NPI 1699783258
Obstetrics & Gynecology in Plymouth Meeting, PA

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
115 PLYMOUTH RD STE 5, PLYMOUTH MEETING, PA 19462(215) 444-3411(877) 409-1886 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 2, 2022, Jul 12, 2017, Oct 28, 2016 (3 updates tracked since 2016).

About Hema Jonnalagadda M.d. NPPES

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

HEMA JONNALAGADDA M.D. (NPI 1699783258) is an individual obstetrics & gynecology provider in Plymouth Meeting, Pennsylvania, licensed in Pennsylvania (MD428851) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Einstein Medical Center Montgomery, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1699783258
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameHEMA JONNALAGADDACredential: M.D.
Location Address115 PLYMOUTH RD STE 5Plymouth Meeting, PA 19462-1407
Mailing Address401 Route 73 N Ste 320Marlton, NJ 08053-3426 · (215) 444-3411 · Fax (215) 444-3411
Phone(215) 444-3411
Fax(877) 409-1886
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 3, 2006
Last NPPES UpdateDecember 2, 20223 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1699783258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD428851
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
115 PLYMOUTH RD STE 5, Plymouth Meeting, PA 19462
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Other Names 1

Former Name (1)Hema Adunuthula M.d.

Other Identifiers 1

Medicaid101677679PA

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

Hema Jonnalagadda 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 ID648279059
PECOS Enrollment IDI20061213000170
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

3

Medicare enrollment records show Hema Jonnalagadda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Suburban Medical Group LLC
3.1 mi
Family Medicine
2701 DEKALB PIKE
East Norriton, PA 19401
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 102 clinicians in this Medicare group
NPI 1710355029 (610) 278-2002
Cooper Faculty Ob-Gyn, PC
19 mi
Obstetrics & Gynecology
1103 KINGS HWY N, SUITE 201
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • 63 clinicians in this Medicare group
NPI 1225058027 (856) 321-1800
Advocare, LLC
24 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 135 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055

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 4

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.
25 services15 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.
22 services20 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
22 services22 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19462 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
78%170 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
93%881 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
38%190 patients2/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,655 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%743 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
94%1,164 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
83%1,126 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 93% · 925 patients
Patients tobacco: 6% · 52 patients
88%925 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%1,164 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
78%1,164 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
74%1,164 patients
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.

Other Providers at the Same Location NPPES

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

ADVOCARE, LLC
Obstetrics & Gynecology
115 PLYMOUTH RD STE 5
PLYMOUTH MEETING, PA 19462
Montgomery County (215) 444-3411

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 Hema Jonnalagadda's NPI number?

The NPI number for Hema Jonnalagadda is 1699783258. It was assigned to this individual provider in the NPPES registry on August 3, 2006. The provider is also known as Hema Adunuthula M.D..

Where is Hema Jonnalagadda located?

Hema Jonnalagadda practices at 115 Plymouth Rd Ste 5, Plymouth Meeting, PA 19462. The listed phone number is (215) 444-3411.

What is Hema Jonnalagadda's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Hema Jonnalagadda enrolled in Medicare?

Yes. Hema Jonnalagadda 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 organizations bill Medicare for Hema Jonnalagadda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hema Jonnalagadda reassigns Medicare benefits to 3 organizations: Suburban Medical Group LLC (East Norriton, PA), Cooper Faculty Ob-Gyn, PC (Cherry Hill, NJ) and Advocare, LLC (Marlton, NJ). Each 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 Hema Jonnalagadda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Hema Jonnalagadda affiliated with any hospitals?

According to CMS data, Hema Jonnalagadda is affiliated with Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Hema Jonnalagadda was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.