PRADEEP ADUMALA MD
NPI 1770983272
Pediatrics in Conyngham,, OR
About Pradeep Adumala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRADEEP ADUMALA MD (NPI 1770983272) is an individual pediatrics provider in Conyngham,, Oregon, licensed in Pennsylvania (MD468261) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hazleton.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pradeep Adumala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Pradeep Adumala reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sugarloaf, PA 18249
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Hazleton, PA 18201
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Hazleton Professional Services
- 305 clinicians in this Medicare group
Pottsville, PA 17901
- Reassigned Medicare billing, Pennsylvania enrollment
- 399 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Pradeep Adumala's NPI number?
The NPI number for Pradeep Adumala is 1770983272. It was assigned to this individual provider in the NPPES registry on September 3, 2014.
Where is Pradeep Adumala located?
Pradeep Adumala practices at 314 South Main Street, Conyngham,, OR 18219. The listed phone number is (570) 708-1500.
What is Pradeep Adumala's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Pradeep Adumala enrolled in Medicare?
Yes. Pradeep Adumala is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Pradeep Adumala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pradeep Adumala reassigns Medicare benefits to 3 organizations: Lehigh Valley Physician Group (Sugarloaf, PA), Lehigh Valley Physician Group (Hazleton, PA) and Schuylkill Health System Medical Group, Inc. (Pottsville, 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 Pradeep Adumala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pradeep Adumala accept?
Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Pradeep Adumala 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 Pradeep Adumala was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Pradeep Adumala, MD · NPI 1770983272
Pediatrics physician in Conyngham,, Oregon. Individual provider, active in the CMS NPPES registry since September 3, 2014.
## Identity
- **NPI:** 1770983272 (Entity type: Individual)
- **Enumerated:** September 3, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD468261 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 314 SOUTH MAIN STREET, Conyngham,, OR 18219-0395
- **Phone:** (570) 708-1500 · **Fax:** (570) 708-1501
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lehigh Valley Physician Group (NPI 1649034083, Sugarloaf, PA); Lehigh Valley Physician Group (NPI 1942609599, Hazleton, PA); Schuylkill Health System Medical Group, Inc. (NPI 1588603567, Pottsville, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2024
- **Other identifiers:** Medicaid 103660812-0001 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1770983272) · Data from the CMS NPPES public registry.