Individual provider Active NPI

Praphulla Hebbalalu, M.D.

  • Internal Medicine Physician
  • Newtown Square, PA
National Provider Identifier
1174549331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07997600 Issued in NJ
Practice address
15 Campus Blvd
Suite 200
Newtown Square, PA 19073-3200
Phone
(484) 454-6268
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07997600 NJ Primary

Addresses

Primary practice location

15 Campus Blvd
Suite 200
Newtown Square, PA 19073-3200

Mailing address

214 Hampshire Dr
Plainsboro, NJ 08536-4346
Phone (732) 750-5951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20060228000221 NJ Practitioner - Internal Medicine 5890701932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sai Inpatient Resources, LLCGroup PAC ID 2668492711, 29 clinicians

Practice addresses (Care Compare)

1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 945-5724

Hospital & facility affiliations

  • Penn Medicine Hospice Princeton Health Hospice, Princeton, NJ, CCN 311506
  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
  • Care One at Trinitas Regional Medical Center Long-term care hospital, Elizabeth, NJ, CCN 312018

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
78.69
Improvement activities
40
Cost
74.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sai Inpatient Resources, LLC Internal Medicine CurrentSince Apr 2, 2007 Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Internal Medicine Past Accepting new patients
Princeton Healthcare System, a New Jersey Non-Profit Corporation Past Accepting new patients
Hera Inpatient Services Internal Medicine Past Accepting new patients
Clinical Staffing Solutions P.C. Internal Medicine Past Accepting new patients

Locations

4 Princess Rd
Ste 207
Lawrenceville, NJ 08648
Phone (609) 883-1587

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

3626 US Highway 1
Princeton, NJ 08540
Phone (609) 243-0445

253 Witherspoon St
Princeton, NJ 08540
Phone (609) 497-4000

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174549331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HAMPSHIRE DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085364346",
            "telephone_number": "732-750-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CAMPUS BLVD",
            "address_2": "SUITE 200",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733200",
            "telephone_number": "484-454-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBBALALU",
        "first_name": "PRAPHULLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07997600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

Verify at the official NPI Registry.