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NRIPEN CHAKRAVARTHY DONTINENI M.D
NPI 1790123024
Internal Medicine in South Plainfield, NJ

Active since June 09, 2013PECOS EnrolledAccepts Medicare Assignment
904 OAK TREE AVE STE M, SOUTH PLAINFIELD, NJ 07080(908) 757-1414 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nripen Chakravarthy Dontineni M.d NPPES

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

NRIPEN CHAKRAVARTHY DONTINENI M.D (NPI 1790123024) is an individual internal medicine provider in South Plainfield, New Jersey, licensed in New York (258573) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1790123024
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNRIPEN CHAKRAVARTHY DONTINENICredential: M.D
Location Address904 OAK TREE AVE STE MSouth Plainfield, NJ 07080-5126
Mailing Address21 Farmhaven AveEdison, NJ 08820-3220 · (347) 439-4512
Phone(908) 757-1414
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJune 9, 2013
Last NPPES UpdateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1790123024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 258573
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
904 OAK TREE AVE STE M, South Plainfield, NJ 07080
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Nripen Chakravarthy Dontineni 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 ID8820220296
PECOS Enrollment IDI20180111001971
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

4

Medicare enrollment records show Nripen Dontineni reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Physicians Of New Jersey PA
2.4 mi
Hospitalist
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 351 clinicians in this Medicare group
NPI 1588021851 (732) 321-7000
Advantagecare Physicians PC
15 mi
Internal Medicine
1050 CLOVE RD, UCC
Staten Island, NY 10301
  • Reassigned Medicare billing, New York enrollment
  • 724 clinicians in this Medicare group
NPI 1063954113 (646) 680-1525
Hackensack Meridian Health Medical Group - Primary Care PC
23 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800
Bronx Heart Medical, P.C
33 mi
Specialist
3184 GRAND CONCOURSE, APT #LD
Bronx, NY 10458
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Heart Medical PC
  • 3 clinicians in this Medicare group
NPI 1174554992 (718) 584-0555

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 15

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
244 services38 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.
154 services89 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
148 services82 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.
146 services88 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
71 services71 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.
49 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07080 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers23 claims60 services$6.19 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers14 claims22 services$1.14 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$59.23 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$29.18 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims17 services$5.55 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$83.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nripen Dontineni's NPI number?

The NPI number for Nripen Dontineni is 1790123024. It was assigned to this individual provider in the NPPES registry on June 9, 2013.

Where is Nripen Dontineni located?

Nripen Dontineni practices at 904 Oak Tree Ave Ste M, South Plainfield, NJ 07080. The listed phone number is (908) 757-1414.

What is Nripen Dontineni's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nripen Dontineni enrolled in Medicare?

Yes. Nripen Dontineni 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 Nripen Dontineni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nripen Dontineni reassigns Medicare benefits to 4 organizations: Hospitalist Physicians Of New Jersey PA (Edison, NJ), Advantagecare Physicians PC (Staten Island, NY), Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and Bronx Heart Medical, P.C (Bronx, NY). 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 Nripen Dontineni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nripen Dontineni accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nripen Dontineni 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.

Is Nripen Dontineni affiliated with any hospitals?

According to CMS data, Nripen Dontineni is affiliated with Cooperman Barnabas Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Nripen Dontineni was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.