Naga Malleswari Komati, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MA08336000 Issued in NJ

Practice address

767 Northfield Avenue
West Orange, NJ 07052-1194

Phone

(973) 419-0417

Fax

(862) 766-5904

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Naga Malleswari Bodapati Former name

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

Specialty

Neurology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Nephrology and Transplant, LLCGroup PAC ID 9335108042, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Innovative Renal Care East Orange Dialysis facility, East Orange, NJ, CCN 312690
• FMC East Orange Dialysis facility, East Orange, NJ, CCN 312568
• Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
• Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nkomati191477@ahs.direct-ci.com
• Direct secure messaging: naga.komati@moderntrans.ehi.direct-ci.com

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.

• Modern Nephrology & Transplant, LLC

  • Specialist
  • West Orange, NJ
  • NPI 1972678977
  Medicare reassignment Care Compare group NPD
• Northeast Kidney Care LLC

  • Internal Medicine Physician
  • Brick, NJ
  • NPI 1023889565
  Medicare reassignment
• Hospital Medicine Associates, P.C.

  • Internal Medicine Physician
  • Livingston, NJ
  • NPI 1831143270
  NPD (past)
• Ipc Hospitalist Physicians of New Jersey PC

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1639303159
  NPD (past)
• Mega Healthcare LLC

  • Primary Care Clinic/Center
  • Livingston, NJ
  • NPI 1548602600
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dialysis Center of Mountainside LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • East Orange, NJ
  • NPI 1629564653

  Dialysis facility

  Care Compare affiliation Name & address match
• Nna of East Orange, L.L.C.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • East Orange, NJ
  • NPI 1942304720

  Dialysis facility

  Care Compare affiliation Name & address match
• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488
  Care Compare affiliation
• Montclair Hospital LLC

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249
  Care Compare affiliation

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1902014525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 NORTHFIELD AVENUE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521194",
            "telephone_number": "973-992-9022",
            "fax_number": "973-992-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 NORTHFIELD AVENUE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521194",
            "telephone_number": "973-419-0417",
            "fax_number": "862-766-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMATI",
        "first_name": "NAGA",
        "middle_name": "MALLESWARI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA08336000",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08336000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0169790",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00778377",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAGA",
            "last_name": "BODAPATI",
            "middle_name": "MALLESWARI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cristina Marie Klymasz, MS, OTR/L, CBIS
• Debra Ann Knapp, AU.D.
• Edward Valery Kogan, M.D.
• Lauren Illya Kohlberg, C.P.N.P
• Vijay Kumar Kolluri, MD
• Kimberly Susan Kones, OTR
• Yekyung Kong
• Andrew Christopher Konopacki, PA-C
• Rebecca H Konstandt, PT
• Kiely Konyak, DPT

• Nephrology Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.