Individual provider Active NPI

Jagga Rao Alluri, M.D.

  • Specialist
  • Forest Hills, NY
National Provider Identifier
1053360008
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
197909 Issued in NY
Practice address
11050 71St Rd
Ste 1B
Forest Hills, NY 11375-4969
Phone
(718) 268-1458
Fax
(718) 268-1471
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 197909 NY Primary

Addresses

Primary practice location

11050 71St Rd
Ste 1B
Forest Hills, NY 11375-4969

Mailing address

11050 71St Rd
Ste 1B
Forest Hills, NY 11375-4969
Phone (718) 268-1458

Other identifiers 10

IdentifierTypeStateIssuer
02110007MedicaidNY
113592494OtherNYUNITED HEALTH CARE
3099573OtherNYGHI
113592494OtherNY1199
P861424OtherNYOXFORD
204814BOtherNYMAGNA CARE
5898587OtherNYAETNA
3C0106OtherNYACS HEALTH NET
73Y713OtherNYEMPIRE
113592494OtherNYAARP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504000122 NY Practitioner - Neurology 0941240527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Abk Neurological Associates PCGroup PAC ID 2365511284, 2 clinicians

Practice addresses (Care Compare)

11050 71St Rd
Suite 1B
Forest Hills, NY 11375-4929
Phone (718) 268-1458

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
197909NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Abk Neurological Associates P C Specialist CurrentSince Feb 26, 2001 Accepting new patients
Janaki Kanumilli, MD P.C. PastSince Feb 26, 2001 Accepting new patients
Booth Medical Associates PC Past Accepting new patients

Locations

11050 71st Rd
Ste 1B
Forest Hills, NY 11375
Phone (718) 268-1458

194 1st St
Mineola, NY 11501
Phone (718) 268-1458

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1053360008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 71ST RD",
            "address_2": "STE 1B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754969",
            "telephone_number": "718-268-1458",
            "fax_number": "718-268-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 71ST RD",
            "address_2": "STE 1B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754969",
            "telephone_number": "718-268-1458",
            "fax_number": "718-268-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLURI",
        "first_name": "JAGGA",
        "middle_name": "RAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "197909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02110007",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "113592494",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3099573",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "113592494",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P861424",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNA CARE",
            "identifier": "204814B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5898587",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTH NET",
            "identifier": "3C0106",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "73Y713",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP",
            "identifier": "113592494",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.