NYSSA ADACKAPARA (MD) – Psychiatry Physician, NPI 1689093494

NYSSA ADACKAPARA (MD) is a healthcare provider. based in Los angeles, California. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. A134973 (CA). The NPI Number for NYSSA ADACKAPARA (MD) is 1689093494

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
NYSSA ADACKAPARA (MD)
NPI
1689093494
Phone
Not provided
Address
840 N AVENUE 66
Enumeration Date
9 April 2014
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9096236131
Graduation Year
2013 (13 years ago)
PAC ID
5395199202
Group Practice PAC ID
6002710506
Professional Enrollment ID
I20230926004306
Address ID
CA917672722PO2008XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,134 PSYCHIATRY in CA

Provider Addresses for NYSSA ADACKAPARA (MD)

  • 840 N AVENUE 66

    LOS ANGELES, CA 900421508

    Phone:

    Type: Mailing

  • 2008 N GAREY AVE

    POMONA, CA 917672722

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$21
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230926004306IPsychiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002710506View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Clinical Social WorkerCA
-CA
-CA
Marriage And Family TherapistCA
Clinical Social WorkerCA
Marriage And Family TherapistCA
P S Y C H I A T R YCA
P S Y C H I A T R YCA

Reviews

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Frequently asked questions

What unique ID ties claims to NYSSA ADACKAPARA (MD)?
NPI 1689093494 is assigned to NYSSA ADACKAPARA (MD) under the national enumeration system.
Is NYSSA ADACKAPARA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does NYSSA ADACKAPARA (MD) work in?
You can think of NYSSA ADACKAPARA (MD) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for NYSSA ADACKAPARA (MD)?
The page summarizes Los Angeles, California for NYSSA ADACKAPARA (MD); expand the address list for detail.
What if Los Angeles, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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