Prasad Anjaneya Jeereddi, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A32129 Issued in CA

Practice address

1904 N Orange Grove Ave
Pomona, CA 91767-3008

Phone

(909) 469-1823

Fax

(909) 469-1827

NPI assigned

Mar 27, 2006

Last updated

Sep 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jeereddi Anjaneya Prasad Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

EndocrinologyAlso: Internal Medicine

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.08 of 100Reported as group

Quality

40.87

Promoting interoperability

75

Improvement activities

40

Cost

74.84

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Calcare Home Health Inc

  • Home Health Agency
  • Pomona, CA
  • NPI 1710090402

  5% Or Greater Indirect Ownership Interest

  CMS ownership

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

• Chaparral Medical Group, Inc.

  • Dermatology Physician
  • Rancho Cucamonga, CA
  • NPI 1093777666

  Internal Medicine

  Medicare reassignment NPD
• Chaparral Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1477733624
  Medicare reassignment NPD
• Chaparral Medical Group, Inc.

  • Cardiovascular Disease Physician
  • Rancho Cucamonga, CA
  • NPI 1346639952

  Internal Medicine

  NPD Authorized official
• Chaparral Medical Group Inc

  • Rheumatology Physician
  • Rancho Cucamonga, CA
  • NPI 1114627510
  Authorized official Same address or phone
• Chaparral Medical Group Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Rancho Cucamonga, CA
  • NPI 1508583089
  Authorized official Same address or phone
• Chaparral Medical Group Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1841144094
  Authorized official Same address or phone
• Chaparral Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1942892302
  Authorized official Same address or phone
• Chaparral Medical Group Inc.

  • Physician Assistant
  • Pomona, CA
  • NPI 1073243655
  Authorized official Same address or phone
• Chaparral Medical Group Inc.

  • General Practice Physician
  • San Francisco, CA
  • NPI 1316891567
  Authorized official Same address or phone
• Chaparral Medical Group Inc.

  • Cardiovascular Disease Physician
  • Upland, CA
  • NPI 1639869605
  Authorized official Same address or phone
• Chaparral Medical Group Inc.

  • General Practice Physician
  • Bakersfield, CA
  • NPI 1720785926
  Authorized official Same address or phone
• Chaparral Medical Group Inc.

  • Gastroenterology Physician
  • Upland, CA
  • NPI 1780146019
  Authorized official Same address or phone

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1821058470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 N ORANGE GROVE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673008",
            "telephone_number": "909-469-1823",
            "fax_number": "909-469-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEEREDDI",
        "first_name": "PRASAD",
        "middle_name": "ANJANEYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A32129",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A32129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A321290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEEREDDI",
            "last_name": "PRASAD",
            "middle_name": "ANJANEYA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Jauwena
• Javan Dental Corporation
• JD Kim Professional Dental Corp. (Park Avenue Cosmetic Denistry)
• La Kaisa Marie Jeanmarie
• Jeanne O Hunter DO
• Praveena Jeereddi, MD
• Sudathi Jeereddi, MD
• Matthew Jeffers
• Jeffrey B. Thomas, D.D.S.
• Charles Jeng, MD

• Endocrinology, Diabetes & Metabolism Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.