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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JAGAN ANNABATHULA MD
NPI 1922090190
Internal Medicine in Grethel, KY

Active since August 16, 2005PECOS Enrolled
7629 KY ROUTE 979, GRETHEL, KY 41631(606) 587-2200(606) 587-2203 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jagan Annabathula Md NPPES

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

MR. JAGAN ANNABATHULA MD (NPI 1922090190) is an individual internal medicine provider in Grethel, Kentucky, licensed in Kentucky (33239) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922090190
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JAGAN ANNABATHULACredential: MD
Location Address7629 KY ROUTE 979Grethel, KY 41631-6304
Mailing Address1709 Ky Route 321, Ste 3Prestonsburg, KY 41653-9101 · (606) 886-8546 · Fax (606) 886-8548
Phone(606) 587-2200
Fax(606) 587-2203
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1922090190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 33239
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.
7629 KY ROUTE 979, Grethel, KY 41631
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Other Identifiers 1

Medicaid64018427KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jagan Annabathula Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41631 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 6

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

SHANA SLONE LCSW
Social Worker (Clinical)
7629 KY ROUTE 979
GRETHEL, KY 41631
Floyd County (606) 587-2200
TERESA OBRIEN-CONLEY LCSW CADC
Social Worker (Clinical)
7629 KY ROUTE 979
GRETHEL, KY 41631
Floyd County (606) 587-2200
CHRISTINA NEWSOME
Nurse Practitioner (Family)
7629 KY ROUTE 979
GRETHEL, KY 41631
Floyd County (606) 587-2200
MEGAN RACHELLE TACKETT APRN
Nurse Practitioner (Family)
7629 KY ROUTE 979
GRETHEL, KY 41631
Floyd County (606) 587-2200
MR. WILLIAM T CONNELLY LCSW
Social Worker (Clinical)
7629 KY ROUTE 979
GRETHEL, KY 41631
Floyd County (606) 587-2200
SHANNA JADE HALL
Nurse Practitioner (Family)
7629 KY ROUTE 979
GRETHEL, KY 41631
Floyd County (606) 587-2200

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 Jagan Annabathula's NPI number?

The NPI number for Jagan Annabathula is 1922090190. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Jagan Annabathula located?

Jagan Annabathula practices at 7629 Ky Route 979, Grethel, KY 41631. The listed phone number is (606) 587-2200.

What is Jagan Annabathula's specialty?

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

Is Jagan Annabathula enrolled in Medicare?

Yes. Jagan Annabathula is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jagan Annabathula was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.