REDDIVALEM VENKATA NAGESH MD
NPI 1730122367
Internal Medicine - Nephrology in Jackson, MI

Q: What is Reddivalem Nagesh's NPI number?

The NPI number for Reddivalem Nagesh is 1730122367. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Reddivalem Nagesh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Reddivalem Nagesh was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment

205 N EAST AVE, JACKSON, MI 49201(517) 788-4800 Get Directions Write a Review

NPPES record last updated: November 23, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Reddivalem Venkata Nagesh Md NPPES

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

REDDIVALEM VENKATA NAGESH MD (NPI 1730122367) is an individual nephrology provider in Jackson, Michigan, licensed in Michigan (4301042337) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1730122367

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameREDDIVALEM VENKATA NAGESHCredential: MD

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing AddressPo Box 67000, Department 272801Detroit, MI 48267-0002 · (517) 841-6913 · Fax (517) 841-6917

Phone(517) 788-4800

Sole ProprietorNo

Medical School CMSOtherGraduated 1972

Enumeration DateJune 13, 2006

Last NPPES UpdateNovember 23, 2007

✔ NPI 1730122367 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 MI · 4301042337

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.

205 N EAST AVE, Jackson, MI 49201

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Other Identifiers 2

Medicare UPINB43843MI

Medicare ID-Type UnspecifiedN53130015MI · Wa Foote Memorial

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

Reddivalem Venkata Nagesh Md 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 ID9133177918

PECOS Enrollment IDI20050107000870

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.

Hospital Affiliations CMS Care Compare

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230092

Location205 N East AveJackson, MI 49201 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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

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.

81%3,129 patients3/55-star benchmark: 100%

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…

78%371 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 tobacco: 10% · 172 patients

11%172 patients

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% · 247 patients

1%247 patients4/55-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 20

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

SAMANTHA RENE DANEK PA-C

Physician Assistant