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KAMAL ADDAGATLA M.D.
NPI 1730522061
Surgery - Plastic and Reconstructive Surgery in Clifton, NJ

Active since April 17, 2013PECOS EnrolledAccepts Medicare Assignment
1255 BROAD ST, CLIFTON, NJ 07013(973) 327-9584(833) 578-2190 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 25, 2022, Jul 1, 2021, Jun 25, 2021 and 1 more (4 updates tracked since 2020).

About Kamal Addagatla M.d. NPPES

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

KAMAL ADDAGATLA M.D. (NPI 1730522061) is an individual plastic and reconstructive surgery provider in Clifton, New Jersey, licensed in New York (336911-01) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1730522061
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameKAMAL ADDAGATLACredential: M.D.
Location Address1255 BROAD STClifton, NJ 07013-3398
Mailing Address800 Westchester Ave Ste S512Rye Brook, NY 10573-1369 · (914) 800-1022 · Fax (914) 800-1021
Phone(973) 327-9584
Fax(833) 578-2190
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 17, 2013
Last NPPES UpdateJune 19, 20264 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1730522061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in NY · 336911-01
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1255 BROAD ST, Clifton, NJ 07013
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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

Kamal 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 ID7113354838
PECOS Enrollment IDI20210712000114
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 Reassignment

Medicare enrollment records show Kamal Addagatla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yale University
72 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

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

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

DR. DIPEN CHANDRAKANT PATEL M.D.
Internal Medicine (Hematology & Oncology)
1255 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 471-0981
TAHA OSMAN MOHAMMED MD
Dermatology
1255 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 685-5735
SUMMIT MEDICAL GROUP PA
Durable Medical Equipment & Medical Supplies
1255 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 685-5760
DR. KATHERINE M GALLAGHER M.D.
Radiology (Body Imaging)
1255 BROAD ST
CLIFTON, NJ 07013
Passaic County (908) 277-8673
MRS. CONCETTA NONO LCSW
Social Worker (Clinical)
1255 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 685-5745
NICOLE CICCONE PA-C
Physician Assistant (Surgical)
1255 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 845-4085
ANNE KIM
Radiology (Radiation Oncology)
1255 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 685-5915
ALICIA D. CARTI APN-C
Nurse Practitioner
1255 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 327-9585

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 Kamal Addagatla's NPI number?

The NPI number for Kamal Addagatla is 1730522061. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Kamal Addagatla located?

Kamal Addagatla practices at 1255 Broad St, Clifton, NJ 07013. The listed phone number is (973) 327-9584.

What is Kamal Addagatla's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Kamal Addagatla enrolled in Medicare?

Yes. Kamal 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.

Which organization bills Medicare for Kamal Addagatla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kamal Addagatla reassigns Medicare benefits to Yale University (New Haven, CT). The 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 Kamal Addagatla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kamal Addagatla was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.