Active NPI
Rekha Miryala, M.D
- Internal Medicine Physician
- Bloomfield, NJ
National Provider Identifier
1942486568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA08463200
- Practice address
- 1018 Broad Street
Suite 8
Bloomfield, NJ 07003-2884 - Phone
- (973) 338-4900
- NPI assigned
- Jan 14, 2008
- Last updated
- Dec 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA08463200 | NJ | Primary |
Addresses
Primary practice location
1018 Broad Street
Suite 8
Bloomfield, NJ 07003-2884
Mailing address
1018 Broad Street
Suite 8
Bloomfield, NJ 07003-2884
Phone (973) 338-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0235067 | Medicaid | NJ |
Other names 1
- Rekha Kalakuntha
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
239 Claremont Ave B
Montclair, NJ 07042-2833
Phone (973) 338-3300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 118 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montclair Adult Care | Internal Medicine | Current | Accepting new patients |
| Montclair Care Center LLC | Past | Accepting new patients |
Locations
1018 Broad St
Ste 8
Bloomfield, NJ 07003
Phone (347) 209-0881
239 Claremont Ave
Ste B
Montclair, NJ 07042
Phone (973) 338-3300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FAJACA
- https://fhir4.healow.com/fhir/r4/FAJACA/Endpoint/FAJACA
- rekha.miryala@montac.eclinicaldirectplus.com
- rmiryala188850@ahs.direct-ci.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Montclair, NJ
- NPI 1033429758
-
- Skilled Nursing Facility
- Montclair, NJ
- NPI 1407413404
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atlantic Home Care & Hospice
- Home Health Agency
- Morristown, NJ
- NPI 1962479667
-
dba HackensackUMC Mountainside
- General Acute Care Hospital
- Montclair, NJ
- NPI 1982720249
-
dba Patient Care
- Home Health Agency
- West Orange, NJ
- NPI 1922089929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1942486568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 BROAD STREET",
"address_2": "SUITE 8",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032884",
"telephone_number": "973-338-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 BROAD STREET",
"address_2": "SUITE 8",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032884",
"telephone_number": "973-338-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRYALA",
"first_name": "REKHA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08463200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0235067",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REKHA",
"last_name": "KALAKUNTHA",
"credential": "M.D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.