Sujatha Addagatla, M.D.
Individual provider Active NPI Nephrology Physician · Niagara Falls, NY
NPI 1720168198 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720168198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 190795 (NY)
- Practice address
- 2900 Military Rd
Niagara Falls, NY 14304-1252 - Phone
- (716) 298-1868
- Fax
- (716) 205-0836
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.72 of 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 69.06
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041221000458 | NY | Practitioner - Nephrology | 5193783280 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niagara Nephrology, PC | Nephrology | Current |
Accepting new patients |
| Nephrology Practice of Niagara, P.C. | Nephrology | Past |
Accepting new patients |
Locations
2900 Military Rd
Niagara Falls, NY 14304
Phone (716) 298-1868
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 190795 | NY | Yes |
Addresses
Primary practice location
2900 Military Rd
Niagara Falls, NY 14304-1252
Mailing address
2900 Military Rd
Niagara Falls, NY 14304-1252
Phone (716) 298-1868
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000524501007 | Other | NY | BLUE CROSS BLUE SHIELD |
| 390008664 | Other | NY | M EDICARE RAILROAD |
| 78433 | Other | NY | GHI HMO |
| 00010348704 | Other | NY | UNIVERA |
| 2509942 | Other | NY | INDEPENDENT HEALTH |
| 01630735 | Medicaid | NY | |
| 2593770 | Other | NY | GHI PPO & NETWORK |
| 163410BZ | Other | NY | PREFERRED CARE |
Other providers in Niagara Falls, NY
- Holly Abbott
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- Rajeshkannan Adaikalamuthu
- Alexis C Adams
- Jennifer Jo Adamson
- Advance Chiropractic
- Advanced Care Physical Therapy Aquatics and Fitness PC
- Advanced Dental of Wny
- Advanced Dental PC
- Aero Car & Limo Service Inc
All providers in Niagara Falls, NY · Nephrology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.