NPIMap

Individual provider Active NPI

Bhavana Rebba, M.D.

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1043261746
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07822300 Issued in NJ
Practice address
225 May St
Suite F
Edison, NJ 08837-3266
Phone
(732) 738-6232
NPI assigned
May 15, 2006
Last updated
Jun 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07822300 NJ Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA07822300 NJ

Addresses

Primary practice location

225 May St
Suite F
Edison, NJ 08837-3266

Mailing address

45 Hunt Dr
Piscataway, NJ 08854-6270
Phone (732) 463-0536

Other names 1

  • Miss Bhavana Jakka Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060925000012 NJ Practitioner - Geriatric MedicinePractitioner - Internal Medicine 1557366648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

225 May St
Suite F
Edison, NJ 08837-3266
Phone (732) 738-8855

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Meridian Medical Group - Specialty Care, PC Internal Medicine Past Accepting new patients
Middlesex County Improvement Authority Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

225 May St
Ste A
Edison, NJ 08837
Phone (732) 346-5400

225 May St
Ste F
Edison, NJ 08837
Phone (732) 738-1224

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3 Hospital Plz
Ste 305
Old Bridge, NJ 08857
Phone (732) 679-1111

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

Interoperability endpoints

  • Direct secure messaging: bhavana.rebba@direct.hackensackmeridian.org
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1043261746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HUNT DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088546270",
            "telephone_number": "732-463-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAY ST",
            "address_2": "SUITE F",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373266",
            "telephone_number": "732-738-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBBA",
        "first_name": "BHAVANA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07822300",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA07822300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BHAVANA",
            "last_name": "JAKKA",
            "prefix": "MISS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.