DR. ADITYA KADIYALA M.D.,
NPI 1811131774
Internal Medicine - Nephrology in White Plains, MD

Active since April 22, 2009PECOS EnrolledAccepts Medicare Assignment
4475 REGENCY PL, SUITE 201, WHITE PLAINS, MD 20695(301) 638-7802 Get Directions Write a Review

NPPES record last updated: May 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Aditya Kadiyala M.d., NPPES

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

DR. ADITYA KADIYALA M.D., (NPI 1811131774) is an individual nephrology provider in White Plains, Maryland, licensed in Maryland (D0072931) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Md Charles Regional Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1811131774
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ADITYA KADIYALACredential: M.D.,
Location Address4475 REGENCY PL, SUITE 201White Plains, MD 20695-3072
Mailing Address4475 Regency Pl, Suite 201White Plains, MD 20695-3072
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 22, 2009
Last NPPES UpdateMay 26, 2014
NPI 1811131774 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 MD · D0072931
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.
4475 REGENCY PL, White Plains, MD 20695

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

Dr. Aditya Kadiyala 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 ID3678746195
PECOS Enrollment IDI20111028000316, I20111123000192
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.

Areas of Expertise CMS Part B claims 12

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 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.
323 services135 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
252 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.
201 services117 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.
132 services104 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
111 services65 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
63 services34 patients

Hospital Affiliations CMS Care Compare 3

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

University Of MD Charles Regional Medical Center

Acute Care Hospitals · La Plata, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210035
Location5 Garrett AvenueLa Plata, MD 20646 · Charles County
Emergency services Birthing friendly

Adventist Healthcare Fort Washington Medical Ctr

Acute Care Hospitals · Fort Washington, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210060
Location11711 Livingston RoadFort Washington, MD 20744 · Prince Georges County
Emergency services

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20695 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
99%74 patients5/55-star benchmark: 99%
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.
61%714 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%604 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
77%88 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
82%283 patients4/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
25%254 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%283 patients4/55-star benchmark: 100%
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+: 1% · 167 patients
1%167 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers11 claims1,980 services$1.21 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$198.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Social Worker
4475 REGENCY PL, SUITE 205
WHITE PLAINS, MD 20695
Internal Medicine (Nephrology)
4475 REGENCY PL, SUITE 201
WHITE PLAINS, MD 20695
Community/Behavioral Health
4475 REGENCY PL, SUITE 205
WHITE PLAINS, MD 20695
Podiatrist (Foot Surgery)
4475 REGENCY PL, STE 204
WHITE PLAINS, MD 20695
Internal Medicine (Nephrology)
4475 REGENCY PL, SUITE 201
WHITE PLAINS, MD 20695
Internal Medicine (Nephrology)
4475 REGENCY PL, SUITE 201
WHITE PLAINS, MD 20695
Podiatrist
4475 REGENCY PL, SUITE 204
WHITE PLAINS, MD 20695
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4475 REGENCY PL, STE 102&103
WHITE PLAINS, MD 20695

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 Aditya Kadiyala's NPI number?

The NPI number for Aditya Kadiyala is 1811131774. It was assigned to this individual provider in the NPPES registry on April 22, 2009.

Where is Aditya Kadiyala located?

Aditya Kadiyala practices at 4475 Regency Pl Suite 201, White Plains, MD 20695. The listed phone number is (301) 638-7802.

What is Aditya Kadiyala's specialty?

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

Is Aditya Kadiyala enrolled in Medicare?

Yes. Aditya Kadiyala 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.

Is Aditya Kadiyala affiliated with any hospitals?

According to CMS data, Aditya Kadiyala is affiliated with University Of MD Charles Regional Medical Center, Adventist Healthcare Fort Washington Medical Ctr and Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Aditya Kadiyala was last updated on May 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.