NPIMap

Individual provider Active NPI

Venkata V Jakkampudi, M.D.

  • Clinical Neurophysiology Physician
  • Hershey, PA
National Provider Identifier
1396754701
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
MD450360 Issued in PA
Practice address
30 Hope Dr Ste 1300
Hershey, PA 17033-2036
Phone
(717) 531-3828
Fax
(717) 531-4694
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MDD0062282 MD
Neurology Physician 2084N0400X 25IA12464800 NJ
Clinical Neurophysiology Physician 2084N0600X MDD0062282 MD
Clinical Neurophysiology Physician 2084N0600X MD450360 PA Primary

Addresses

Primary practice location

30 Hope Dr Ste 1300
Hershey, PA 17033-2036

Mailing address

331 Newman Springs Road
BLDG. 2, Suite 220
Red Bank, NJ 07701
Phone (732) 807-0877

Other practice location 1

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 897-3600

Other practice location 2

1945 Route 33
Neptune, NJ 07753
Phone (732) 897-3600

Other practice location 3

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other identifiers 2

IdentifierTypeStateIssuer
MD450360OtherPADEPARTMENT OF STATE
006822500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH, SC, NJ4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150514002059 PA Practitioner - Neurology 8123048352 Reassigns benefits to 3 organizations
I20180827001920 OH Practitioner - HospitalistPractitioner - Neurology 8123048352 Reassigns benefits to 1 organization
I20240724002911 SC Practitioner - Neurology 8123048352 Reassigns benefits to 1 organization
I20250311000626 NJ Practitioner - Neurology 8123048352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Joseph Medical GroupGroup PAC ID 3779688650, 190 clinicians

Practice addresses (Care Compare)

1945 Route 33
Neptune, NJ 07753-4859
Phone (732) 776-4945

2494 Bernville Rd
Suite 201
Reading, PA 19605-9468
Phone (610) 378-2676

550 N 12TH St
Suite 140
Lemoyne, PA 17043-1242
Phone (717) 975-8585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDD0062282MDMDClinical Neurophysiology Physician
MD450360PAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc Current Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
St. Joseph Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Lake Hospital System Inc CurrentSince Jun 20, 2022 Accepting new patients
Musc Community Physicians Neurology CurrentSince Jun 15, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jun 15, 2024 Accepting new patients
St. Joseph Medical Group Neurology CurrentSince Aug 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 21, 2025 Accepting new patients
Mount Carmel Healthproviders Two LLC Neurology Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 21, 2025 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Lake Hospital System, Inc CurrentSince Jun 20, 2022 Accepting new patients
The Milton S Hershey Medical Center Physician Group Neurology CurrentSince Nov 1, 2018 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Mar 10, 2025 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Nov 1, 2018 Accepting new patients
Yadla LLC Past Accepting new patients
Fulton County Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Fulton County Medical Center Past Accepting new patients
Yadla LLC Past Accepting new patients
Fulton County Medical Center Past Accepting new patients

Locations

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

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

423 N 21st St
Ste 300
Camp Hill, PA 17011
Phone (717) 763-1174

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

30 Hope Dr
Ste 1300
Hershey, PA 17033
Phone (717) 531-3828

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

550 N 12th St
Ste 140
Lemoyne, PA 17043
Phone (717) 901-8000

2494 Bernville Rd
Ste 201
Reading, PA 19605
Phone (610) 378-2557

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • Direct secure messaging: vjakkampudi219028@ehrdirect.uhhospitals.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 9

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1396754701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS ROAD",
            "address_2": "BLDG. 2, SUITE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOPE DR STE 1300",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332036",
            "telephone_number": "717-531-3828",
            "fax_number": "717-531-4694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Jack Martin Blvd",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087247732",
            "country_code": "US",
            "telephone_number": "732-897-3600",
            "fax_number": "732-897-3660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 Route 33",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "07753",
            "country_code": "US",
            "telephone_number": "732-897-3600",
            "fax_number": "732-897-3660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKKAMPUDI",
        "first_name": "VENKATA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "MDD0062282",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25IA12464800",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MD",
            "license": "MDD0062282",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PA",
            "license": "MD450360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF STATE",
            "identifier": "MD450360",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006822500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.