Rao S Mikkilineni (NPI# 1881650273, PAC ID# 8820031974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1881650273 |
| PAC ID by PECOS | 8820031974 |
| Professional Enrollment ID | I20050609000108 |
| Full Name | Rao S Mikkilineni |
| Organization Legal Name | LIBERTY PULMONARY CRITICAL CARE |
| Address |
355 Grand St Jersey City NJ 07302-4321 |
| Phone Number | 2017959155 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1972 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | PULMONARY DISEASE |
| Group Practice PAC ID | 4789768326 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310074 | JERSEY CITY MEDICAL CENTER |
| 110079 | GRADY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 355 Grand St, Jersey City, NJ 07302-4321 | 2017959155 | LIBERTY PULMONARY CRITICAL CARE |
| 377 Jersey Ave, Suite 470, Jersey City, NJ 07302-4325 | 2019182239 | PULMONARY SLEEP CARE ASSOCIATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | LIBERTY PULMONARY CRITICAL CARE |
| Physicians | 1 |
| Street Address |
355 GRAND ST |
| City | JERSEY CITY |
| State | NJ |
| Zip | 07302-4321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Narendra N Patel | Psychiatry | Barnabas Health Medical Group P C | 355 Grand St, Jersey City, NJ 07302-4321 |
| Angel M Sarfo-darko | Certified Registered Nurse Anesthetist (crna) | New Jersey Healthcare Specialists PC | 355 Grand St, Jersey City, NJ 07302-4321 |
| Susan E Obrien | Emergency Medicine | Liberty Emergency Medical Associates LLC | 355 Grand St, Jersey City, NJ 07302-4321 |
| Leslie Osei Tutu | Anesthesiology | New Jersey Healthcare Specialists PC | 355 Grand St, Jersey City, NJ 07302-4321 |
| Kristen R Wilkes | Emergency Medicine | Liberty Emergency Medical Associates LLC | 355 Grand St, Jersey City, NJ 07302-4321 |
| Kriti Goel | Anesthesiology | New Jersey Healthcare Specialists PC | 355 Grand St, Jersey City, NJ 07302-4321 |
| Monika Nemeth | Certified Registered Nurse Anesthetist (crna) | New Jersey Healthcare Specialists PC | 355 Grand St, Jersey City, NJ 07302-4321 |
| Tianna Greene | Certified Nurse Midwife (cnm) | Barnabas Health Medical Group PC | 355 Grand St, Jersey City, NJ 07302-4321 |
| Noushin Sultana | Emergency Medicine | Liberty Emergency Medical Associates LLC | 355 Grand St, Jersey City, NJ 07302-4321 |
| Fred J Prendergass | Certified Registered Nurse Anesthetist (crna) | New Jersey Healthcare Specialists PC | 355 Grand St, Jersey City, NJ 07302-4321 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Anne Domingues | Clinical Social Worker | Vicki Barnett Psy D PC | 525 Monmouth St, Jersey City, NJ 07302-1527 |
| Joven P Dungo | Internal Medicine | 205 9th St, Jersey City, NJ 07302-1704 | |
| Humberto T Perez | Family Medicine | 646 Jersey Ave, Jersey City, NJ 07302-2014 | |
| Joreen Mae Celerio Abugho | Occupational Therapy | Center for Joint and Spine Relief | 311 Newark Ave, Jersey City, NJ 07302-2347 |
| Joseph A Bryson | Chiropractic | Center for Joint and Spine Relief | 311 Newark Ave, Jersey City, NJ 07302-2347 |
| Shawn R Mckay | Chiropractic | Center for Joint and Spine Relief | 311 Newark Ave, Jersey City, NJ 07302-2347 |
| Serge Menkin | Physical Medicine and Rehabilitation | Center for Joint and Spine Relief | 311 Newark Ave, Jersey City, NJ 07302-2347 |
| Andriy Ilashuk | Nurse Practitioner | Center for Joint and Spine Relief | 311 Newark Ave, Jersey City, NJ 07302-2347 |
| Christopher Millan | Physical Therapy | 398 A Manila Ave, Jersey City, NJ 07302-2536 | |
| Enrique Arencibia | Physical Therapy | Ivyrehab Network Inc | 254 Newark Ave, Jersey City, NJ 07302-2633 |
| Find all physicians in zip 07302 | |||
| City | JERSEY CITY |
| Zip Code | 07302 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | JERSEY CITY + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Rao S Mikkilineni.
| 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.