DR. PRASHANTH VALLABHAJOSYULA MD, MS
NPI 1730167404
Thoracic Surgery (Cardiothoracic Vascular Surgery) in New Haven, CT

Q: What is Prashanth Vallabhajosyula's NPI number?

The NPI number for Prashanth Vallabhajosyula is 1730167404. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Q: What is Prashanth Vallabhajosyula's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment

73.56/100

CMS Quality Rating

800 HOWARD AVE, NEW HAVEN, CT 06519(203) 785-5000 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Prashanth Vallabhajosyula Md, Ms NPPES

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

DR. PRASHANTH VALLABHAJOSYULA MD, MS (NPI 1730167404) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in New Haven, Connecticut, licensed in Connecticut (64282) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2002).

NPPES Registry Identity

NPI1730167404

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. PRASHANTH VALLABHAJOSYULACredential: MD, MS

Location Address800 HOWARD AVENew Haven, CT 06519-1369

Mailing Address330 Cedar StNew Haven, CT 06510-3218 · (203) 785-5000

Phone(203) 785-5000

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 2002

Enumeration DateJanuary 4, 2006

Last NPPES UpdateSeptember 27, 2019

✔ NPI 1730167404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in CT · 64282✔ Licensed in PA · MD437562

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 225173 (MA)

800 HOWARD AVE, New Haven, CT 06519

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Prashanth Vallabhajosyula Md, Ms 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 ID6204082290

PECOS Enrollment IDI20191017001652

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 Prashanth Vallabhajosyula reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yale University

0.4 mi

Advanced Practice Midwife

100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519

Reassigned Medicare billing, Connecticut enrollment
3,728 clinicians in this Medicare group

NPI 1124148887 (203) 737-5432

University Of Penn - Medical Group

135 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

595 W STATE ST STE 207
Doylestown, PA 18901

Reassigned Medicare billing, Pennsylvania enrollment
3,488 clinicians in this Medicare group

NPI 1538056163 (215) 345-2100

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

41 services41 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.

28 services27 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

25 services24 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.

23 services22 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

19 services19 patients

Repair of aortic arch with graft 33866

Repair of the aortic arch with a graft is a surgical procedure to fix a damaged section of the main blood vessel, the aorta. A graft, which is a tube made of synthetic material, is used to replace the diseased part, helping to restore normal blood flow.

19 services19 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Repair of ascending aorta with graft on heart-lung machine with valve suspension for aortic disease 33859

This procedure involves fixing the upper part of your aorta (main artery) with a graft. A heart-lung machine is used to maintain blood flow while your heart is stopped. Your aortic valve is temporarily suspended to protect it during the repair.

12 services12 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.

12 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Repair of ascending aorta with graft on heart-lung machine with aortic root replacement and heart reconstruction 33863

This procedure involves replacing a damaged section of your ascending aorta, near the heart, with a graft. A heart-lung machine is used to maintain body functions while your heart is stopped. The aortic root may also be replaced, and the heart reconstructed, to ensure proper functioning.

11 services11 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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

$183.10 typical visit price

range $60.82 – $183.10

Typical copayment $45.77 (range $15.20 – $45.77)

Most-billed visit code 99205

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

73.56/100

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

Scored as part of a group practice

Quality

75.84

Promoting Interoperability

Improvement Activities

Cost

51.43

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.

MS. PAULA M. TORTORICI-SCHEFF FNP

Nurse Practitioner (Family)

800 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 688-4242

GERARD ANDREW BETRO MD

Surgery

800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-2140

ALEXA BLOOD APRN

Nurse Practitioner

800 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-2565

MICHAEL DIGIOVANNA MD

Internal Medicine (Medical Oncology)

800 HOWARD AVE, YALE PHYSICIANS BUILDING - 2ND FLOOR
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 688-4191

HELENA TERESA CHMIELOWICZ APRN

Clinical Nurse Specialist (Gerontology)

800 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-2140

DR. MARC LEWIS ROSEN MD

Physical Medicine & Rehabilitation

800 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-2579

MICHELE ANNE GOYETTE -EWING PHD

Psychologist (Clinical Child & Adolescent)

800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-2140

UZMA USMAN MD

Psychiatry & Neurology (Neuromuscular Medicine)

800 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (999) 999-9999

DR. NISHANT KUMAR MISHRA MBBS PHD

Psychiatry & Neurology (Vascular Neurology)

800 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 737-1057

DR. BRIAN SHINDER

Urology

800 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-2815

SARAH ELIZABETH FITZPATRICK LCSW

Social Worker

800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-2140

DR. JAMES VAN RENSSELAER HUNT FREEMAN M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

800 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-4191

MARTINA SERAINA BURN MD

Obstetrics & Gynecology

800 HOWARD AVE, YNHH-OBSTETRICS, GYNECOLOGY & REPRODUCTIVE SCIENCES
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-4004

ERKUT BAHCECI MD

Internal Medicine (Hematology)

800 HOWARD AVE, YALE PHYSICIANS BUILDING
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-2140

DR. FRANCIS Y LEE MD

Orthopaedic Surgery

800 HOWARD AVE, YALE PHYSICIAN BUILDING, FIRST FLOOR
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-2579

MR. WILLIAM WYSKIEL

Pharmacist

800 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 688-6816

MARY S BOGUCKI MD

Emergency Medicine

800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-2140

JILL LACY MD

Internal Medicine (Medical Oncology)

800 HOWARD AVE, YALE PHYSICIANS BLDG-2ND FLOOR
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 737-1600

JOHN W COLBERG MD

Urology

800 HOWARD AVE, YALE PHYSICIANS BUILDING 3RD FLOOR
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-2815

DR. LINDA LEE HUH M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

800 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 843-3102

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 Prashanth Vallabhajosyula's NPI number?

The NPI number for Prashanth Vallabhajosyula is 1730167404. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Prashanth Vallabhajosyula located?

Prashanth Vallabhajosyula practices at 800 Howard Ave, New Haven, CT 06519. The listed phone number is (203) 785-5000.

What is Prashanth Vallabhajosyula's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Prashanth Vallabhajosyula enrolled in Medicare?

Yes. Prashanth Vallabhajosyula 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 Prashanth Vallabhajosyula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prashanth Vallabhajosyula reassigns Medicare benefits to 2 organizations: Yale University (New Haven, CT) and University Of Penn - Medical Group (Doylestown, PA). 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 Prashanth Vallabhajosyula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prashanth Vallabhajosyula accept?

Health plans from Anthem Blue Cross and Blue Shield list Prashanth Vallabhajosyula as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prashanth Vallabhajosyula was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.