Jagan Mohan Reddy Kothapally (NPI# 1649385733, PAC ID# 1153473871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1649385733 |
| PAC ID by PECOS | 1153473871 |
| Professional Enrollment ID | I20130708000569 |
| Full Name | Jagan Mohan Reddy Kothapally |
| Organization Legal Name | FLORIDA KIDNEY AND HYPERTENSION CLINIC INC |
| Address |
2140 Kingsley Ave Suite 10 Orange Park FL 32073-5129 |
| Phone Number | 9045295252 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4981777257 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100226 | ORANGE PARK MEDICAL CENTER |
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 2140 Kingsley Ave, Suite 10, Orange Park, FL 32073-5129 | 9045295252 | FLORIDA KIDNEY AND HYPERTENSION CLINIC INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 53% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 3% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 59% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 1% | |
| MIPS_EC_047_overall | Care Plan | 95% | |
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% |
| Organization Legal Name | FLORIDA KIDNEY AND HYPERTENSION CLINIC INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rama T Reddy | Nephrology | Florida Kidney and Hypertension Clinic Inc | 2140 Kingsley Ave, Suite 10, Orange Park, FL 32073-5129 |
| Street Address |
2140 KINGSLEY AVE SUITE 10 |
| City | ORANGE PARK |
| State | FL |
| Zip | 32073-5129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadeem M Maalouli | Internal Medicine | Solantic of Jacksonville LLC | 2140 Kingsley Ave, Orange Park, FL 32073-5180 |
| Bassam George Rizk | General Surgery | First Coast Surgical Associations Inc. | 2140 Kingsley Ave, Suite 11, Orange Park, FL 32073-5129 |
| Cesar Hidalgo | Family Medicine | Solantic of Jacksonville LLC | 2140 Kingsley Ave, Orange Park, FL 32073-5180 |
| Barry L Efron | Podiatry | Podiatry Associates of Florida Inc | 2140 Kingsley Ave, Suite 12, Orange Park, FL 32073-5129 |
| Soheila C Zekri | Nurse Practitioner | Solantic of Jacksonville LLC | 2140 Kingsley Ave, Orange Park, FL 32073-5180 |
| Ismael Rodriguez | Internal Medicine | 2140 Kingsley Ave, Suite 9, Orange Park, FL 32073-5129 | |
| Amy Joy Lockett | Physician Assistant | Solantic of Jacksonville LLC | 2140 Kingsley Ave, Orange Park, FL 32073-5180 |
| Richard A Oldano | Physician Assistant | Solantic of Jacksonville LLC | 2140 Kingsley Ave, Orange Park, FL 32073-5180 |
| Kerry V Rifkin | Vascular Surgery | Vascular Surgery Associates of North Florida Pa | 2140 Kingsley Ave, Suite 14, Orange Park, FL 32073-5129 |
| Rama T Reddy | Nephrology | Florida Kidney and Hypertension Clinic Inc | 2140 Kingsley Ave, Suite 10, Orange Park, FL 32073-5129 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rahman Karimi | Internal Medicine | Mcci Group Holdings LLC | 8 Blanding Blvd, Suite 20, Orange Park, FL 32073-2202 |
| Carlos R Villa | Optometry | Myeyedr Optometry of Florida, LLC | 28 Blanding Blvd, Orange Park, FL 32073-2202 |
| Robert Morris | Chiropractic | 1871 Wells Rd, Orange Park, FL 32073-2351 | |
| Ali Tabatabai | Optometry | Family First Vision Care Pllc | 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372 |
| Darren R Blom | Optometry | Family First Vision Care Pllc | 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372 |
| Shaila N Williston | Family Practice | 1700 Wells Rd, Suite 27, Orange Park, FL 32073-2374 | |
| Joseph N Salameh | Chiropractic | Jns Physicians Group LLC | 1700 Wells Rd, Orange Park, FL 32073-2374 |
| Marcus Decarvalho | Psychiatry | 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383 | |
| Blake Bazel | Psychologist, Clinical | 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383 | |
| Hewell B Eaves | Optometry | Mack Eye Care Pa | 88 Blanding Blvd, Orange Park, FL 32073-2601 |
| Find all physicians in zip 32073 | |||
| City | ORANGE PARK |
| Zip Code | 32073 |
| Specialty | NEPHROLOGY |
| City + Specialty | ORANGE PARK + NEPHROLOGY |
Please comment or provide details below to improve the information on Jagan Mohan Reddy Kothapally.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.