Dr Kesavarao Mittapalli, MD - Medicare Internal Medicine in Hackensack, NJ

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Dr Kesavarao Mittapalli, MD is a medicare enrolled "Internal Medicine" physician in Hackensack, New Jersey. He graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hackensack Meridian Health Medical Group - Specialty Care Pc and his current practice location is 30 Prospect Ave, Faculty Practice Office, Hackensack, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 996-2816.

Dr Kesavarao Mittapalli is licensed to practice in New Jersey (license number 25MA05903900) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043258023.

Contact Information

Dr Kesavarao Mittapalli, MD
30 Prospect Ave, Faculty Practice Office,
Hackensack, NJ 07601-1914
(201) 996-2816
Not Available

Map and Direction




Physician's Profile

Full NameDr Kesavarao Mittapalli
GenderMale
SpecialityInternal Medicine
Experience45 Years
Location30 Prospect Ave, Hackensack, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kesavarao Mittapalli graduated from medical school in 1979
  NPI Data:
  • NPI Number: 1043258023
  • Provider Enumeration Date: 06/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4284613522
  • Enrollment ID: I20040720000804

Medical Identifiers

Medical identifiers for Dr Kesavarao Mittapalli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043258023NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA05903900 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hackensack University Medical CenterHackensack, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hackensack Meridian Health Medical Group - Specialty Care Pc91330325191166

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kesavarao Mittapalli allows following entities to bill medicare on his behalf.
Entity NameHackensack Meridian Health Medical Group - Specialty Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524
Entity NameCogent Healthcare Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629304290
PECOS PAC ID: 6608918867
Enrollment ID: O20100126000691

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kesavarao Mittapalli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kesavarao Mittapalli, MD
280 Henry St,
Paramus, NJ 07652-4536

Ph: (201) 261-0262		Dr Kesavarao Mittapalli, MD
30 Prospect Ave, Faculty Practice Office,
Hackensack, NJ 07601-1914

Ph: (201) 996-2816

Reviews and Comments


Internal Medicine Doctors in Hackensack, NJ

Dr. Sean Shabbir Sadikot, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20 Prospect Ave Ste 707, Hackensack, NJ 07601
Phone: 551-996-2211    Fax: 551-996-5727
Mr. Angel J Mulkay, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 493 Essex Avenue, Hackensack, NJ 07601
Phone: 201-996-9244    Fax: 201-601-0995
Dr. Morris Samuel Friedman, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 52 1st St, Hackensack, NJ 07601
Phone: 201-342-0066    Fax: 201-342-0079
Dr. David Serur, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20 Prospect Ave Ste 406, Hackensack, NJ 07601
Phone: 551-996-2608    Fax: 551-996-0826
Jerome F Levine, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 20 Prospect Ave, Suite 507, Hackensack, NJ 07601
Phone: 201-487-4088    
Dr. Noa Biran, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 92 2nd St, Hackensack, NJ 07601
Phone: 551-996-8704    Fax: 551-996-0582
Naresh Chanderi, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 344 Prospect Ave, Hackensack, NJ 07601
Phone: 201-342-4233    Fax: 201-342-4840

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.