Kesavarao Mittapalli, MD
NPI 1043258023ActiveIndividual· Internal Medicine· Hackensack, NJ
Internal Medicine (MD) with Hackensack Meridian Health Medical Group - Specialty Care PC, practicing in Hackensack, New Jersey. Medicare paid $2,664 for services to 14 patients in 2024. Lists Hackensack University Medical Center as a hospital affiliation.
Overview
| NPI | 1043258023 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 3, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 25MA05903900 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NJ); Practitioner - Internal Medicine (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 14 across 1 procedure code |
| Paid by Medicare | $2,664 |
Education and affiliations
| Graduation year | 1979 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Hackensack Meridian Health Medical Group - Specialty Care PCHackensack, NJ · 1,922 clinicians
Hospital affiliation
- Hackensack University Medical CenterHackensack, NJ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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