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DR. SUJATHA ADDAGATLA M.D.
NPI 1720168198
Internal Medicine - Nephrology in Niagara Falls, NY

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
2900 MILITARY RD, NIAGARA FALLS, NY 14304(716) 298-1868(716) 205-0836 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sujatha Addagatla M.d. NPPES

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

DR. SUJATHA ADDAGATLA M.D. (NPI 1720168198) is an individual nephrology provider in Niagara Falls, New York, licensed in New York (190795) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Niagara Falls Memorial Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1720168198
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SUJATHA ADDAGATLACredential: M.D.
Location Address2900 MILITARY RDNiagara Falls, NY 14304-1252
Mailing Address2900 Military RdNiagara Falls, NY 14304-1252 · (716) 298-1868 · Fax (716) 205-0836
Phone(716) 298-1868
Fax(716) 205-0836
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720168198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 190795
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2900 MILITARY RD, Niagara Falls, NY 14304
Open in Google Maps ↗

Other Identifiers 9

Medicare ID-Type UnspecifiedDD2416NY
Other00010348704NY · Univera
Other2509942NY · Independent Health
Other163410BZNY · Preferred Care
Other78433NY · Ghi Hmo
Other2593770NY · Ghi Ppo & Network
Other000524501007NY · Blue Cross Blue Shield
Medicare UPING23239NY
Medicaid01630735NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sujatha Addagatla 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 ID5193783280
PECOS Enrollment IDI20041221000458
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.

Areas of Expertise CMS Part B claims 8

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
282 services35 patients
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.
145 services35 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.
144 services72 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
72 services13 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.
61 services45 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.
44 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Niagara Falls Memorial Medical Center

Acute Care Hospitals · Niagara Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330065
Location621 Tenth StreetNiagara Falls, NY 14302 · Niagara County
Emergency services Birthing friendly

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14304 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
97%250 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%1,821 patients4/55-star benchmark: 100%
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.
100%50 patients5/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
100%20 patients5/55-star benchmark: 96%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
16%489 patients1/55-star benchmark: 90%
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…
18%726 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
26%848 patients2/55-star benchmark: 88%
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 tobacco: 87% · 589 patients
99%589 patients
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…
100%20 patients5/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 490 patients
0%490 patients5/55-star benchmark: 100%
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 3

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

NEPHROLOGY PRACTICE OF NIAGARA, P.C.
Internal Medicine (Nephrology)
2900 MILITARY RD
NIAGARA FALLS, NY 14304
Niagara County (716) 298-1868
DR. EDWIN J ANAND M,D.
Internal Medicine (Nephrology)
2900 MILITARY RD
NIAGARA FALLS, NY 14304
Niagara County (716) 298-1868
NIAGARA NEPHROLOGY, PC
Internal Medicine (Nephrology)
2900 MILITARY RD
NIAGARA FALLS, NY 14304
Niagara County (716) 298-1868

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 Sujatha Addagatla's NPI number?

The NPI number for Sujatha Addagatla is 1720168198. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Sujatha Addagatla located?

Sujatha Addagatla practices at 2900 Military Rd, Niagara Falls, NY 14304. The listed phone number is (716) 298-1868.

What is Sujatha Addagatla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sujatha Addagatla enrolled in Medicare?

Yes. Sujatha Addagatla 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.

Is Sujatha Addagatla affiliated with any hospitals?

According to CMS data, Sujatha Addagatla is affiliated with Niagara Falls Memorial Medical Center and Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Sujatha Addagatla was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.