DR. PRAVEEN KADIMCHERLA M.D.
NPI 1700182946
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in West Orange, NJ

Active since February 06, 2011Opted out of Medicare · through Apr 1, 2028
475 PROSPECT AVE, SUITE 110, WEST ORANGE, NJ 07052(973) 419-0200 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Praveen Kadimcherla M.d. NPPES

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

DR. PRAVEEN KADIMCHERLA M.D. (NPI 1700182946) is an individual orthopaedic surgery of the spine provider in West Orange, New Jersey, licensed in New Jersey (25MA09481800) and active in the NPI registry since February 2011. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700182946
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. PRAVEEN KADIMCHERLACredential: M.D.
Location Address475 PROSPECT AVE, SUITE 110West Orange, NJ 07052-4197
Mailing Address475 Prospect Ave, Suite 110West Orange, NJ 07052-4197 · (973) 419-0200
Sole ProprietorYes
Enumeration DateFebruary 6, 2011
Last NPPES UpdateJune 5, 2015
NPI 1700182946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in NJ · 25MA09481800
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
475 PROSPECT AVE, West Orange, NJ 07052

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Praveen Kadimcherla M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

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

Anesthesiology (Pain Medicine)
475 PROSPECT AVE, STE 110
WEST ORANGE, NJ 07052
Optometrist
475 PROSPECT AVE
WEST ORANGE, NJ 07052
Anesthesiology
475 PROSPECT AVE, SUITE 110
WEST ORANGE, NJ 07052
Clinic/Center (Ophthalmologic Surgery)
475 PROSPECT AVE
WEST ORANGE, NJ 07052
Specialist
475 PROSPECT AVE
WEST ORANGE, NJ 07052
Specialist
475 PROSPECT AVE
WEST ORANGE, NJ 07052
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
475 PROSPECT AVE
WEST ORANGE, NJ 07052
Clinic/Center (Ambulatory Surgical)
475 PROSPECT AVE
WEST ORANGE, NJ 07052

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 Praveen Kadimcherla's NPI number?

The NPI number for Praveen Kadimcherla is 1700182946. It was assigned to this individual provider in the NPPES registry on February 6, 2011.

Where is Praveen Kadimcherla located?

Praveen Kadimcherla practices at 475 Prospect Ave Suite 110, West Orange, NJ 07052. The listed phone number is (973) 419-0200.

What is Praveen Kadimcherla's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Praveen Kadimcherla enrolled in Medicare?

No. Praveen Kadimcherla has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Praveen Kadimcherla was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.