Active NPI
Jagga Rao Alluri, M.D.
- Specialist
- Forest Hills, NY
National Provider Identifier
1053360008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 197909
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02110007 | Medicaid | NY | |
| 113592494 | Other | NY | UNITED HEALTH CARE |
| 3099573 | Other | NY | GHI |
| 113592494 | Other | NY | 1199 |
| P861424 | Other | NY | OXFORD |
| 204814B | Other | NY | MAGNA CARE |
| 5898587 | Other | NY | AETNA |
| 3C0106 | Other | NY | ACS HEALTH NET |
| 73Y713 | Other | NY | EMPIRE |
| 113592494 | Other | NY | AARP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197909 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abk Neurological Associates P C | Specialist | Current | Accepting new patients |
| Janaki Kanumilli, MD P.C. | Past | 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.
-
- Specialist
- Forest Hills, NY
- NPI 1811160534
-
- Hepatology Physician
- Flushing, NY
- NPI 1912996703
-
- Health Maintenance Organization
- Forest Hills, NY
- NPI 1255627725
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.