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DR. PRASAD MEDEPALLI
NPI 1912941691
Internal Medicine in Fairlawn, NJ

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
15-01 BROADWAY (SUITE), SUITE 38, FAIRLAWN, NJ 07410(201) 791-9241 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Prasad Medepalli NPPES

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

DR. PRASAD MEDEPALLI (NPI 1912941691) is an individual internal medicine provider in Fairlawn, New Jersey, licensed in New Jersey (30507) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1912941691
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRASAD MEDEPALLI
Location Address15-01 BROADWAY (SUITE), SUITE 38Fairlawn, NJ 07410
Mailing Address15-01 Broadway (suite)Fairlawn, NJ 07410 · (201) 791-9241
Phone(201) 791-9241
Sole ProprietorNo
Medical School CMSOtherGraduated 1971
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912941691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 30507
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.
15-01 BROADWAY (SUITE), Fairlawn, NJ 07410
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Other Identifiers 3

Medicare ID-Type Unspecified460546AM1NJ
Medicaid2984300NJ
Medicare UPINC62873

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. Prasad Medepalli 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 ID9032142971
PECOS Enrollment IDI20050913000062
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 Prasad Medepalli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Essex
7.7 mi
Ophthalmology
204 GROVE AVE
Cedar Grove, NJ 07009
  • Reassigned Medicare billing, New Jersey enrollment
  • 14 clinicians in this Medicare group
NPI 1114975166 (973) 571-2800

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

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 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.
117 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 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.

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 Prasad Medepalli's NPI number?

The NPI number for Prasad Medepalli is 1912941691. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Prasad Medepalli located?

Prasad Medepalli practices at 15-01 Broadway (suite) Suite 38, Fairlawn, NJ 07410. The listed phone number is (201) 791-9241.

What is Prasad Medepalli's specialty?

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

Is Prasad Medepalli enrolled in Medicare?

Yes. Prasad Medepalli 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 Prasad Medepalli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prasad Medepalli reassigns Medicare benefits to County Of Essex (Cedar Grove, NJ). 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 Prasad Medepalli'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 Prasad Medepalli was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.