Individual provider Active NPI

Uma Duvvuri, M.D

  • Internal Medicine Physician
  • Pompton Plains, NJ
National Provider Identifier
1891756573
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07363500 Issued in NJ
Practice address
637 Route 23 South
Pompton Plains, NJ 07444-1996
Phone
(973) 859-7277
Fax
(862) 666-9215
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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 25MA07363500 NJ Primary

Addresses

Primary practice location

637 Route 23 South
Pompton Plains, NJ 07444-1996

Mailing address

PO Box 4328
Wayne, NJ 07474-4328
Phone (973) 859-7277

Other identifiers 1

IdentifierTypeStateIssuer
0035068MedicaidNJ

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
I20031104000117 NJ Practitioner - Internal Medicine 4284546714 Reassigns benefits to 1 organization
Practice locations: Pompton Plains, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Medical Care of New Jersey PCGroup PAC ID 3072650290, 168 clinicians

Practice addresses (Care Compare)

228 Franklin Ave
Nutley, NJ 07110-4700
Phone (973) 542-2447

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2016 Accepting new patients
Optum Medical Care of New Jersey PC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
New Jersey Medical and Health Associates,LLC Internal Medicine PastSince Mar 1, 2014 Accepting new patients
Clara Maass Medical Center Past Accepting new patients
Riverside Medical Group Past Accepting new patients
Krishna Duvvuri MD PC Past Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

1 Maywood Ave
Maywood, NJ 07607
Phone (201) 464-4772

228 Franklin Ave
Nutley, NJ 07110
Phone (973) 542-2447

201 State Rt 17
Fl 1202
Rutherford, NJ 07070
Phone (201) 975-2323

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

38 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 866-5151

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • Direct secure messaging: uduvvuri77281@direct.optum.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1891756573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4328",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074744328",
            "telephone_number": "973-859-7277",
            "fax_number": "862-666-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 ROUTE 23 SOUTH",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441996",
            "telephone_number": "973-859-7277",
            "fax_number": "862-666-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVVURI",
        "first_name": "UMA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07363500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035068",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

Verify at the official NPI Registry.