ADITI JALLA (MD) – Surgery Physician, NPI 1326577156

ADITI JALLA (MD) is a healthcare provider. based in Orange park, Florida. specializing in CRITICAL CARE (INTENSIVISTS), GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. ME156290 (FL). The NPI Number for ADITI JALLA (MD) is 1326577156

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ADITI JALLA (MD)
NPI
1326577156
Phone
(904) 276-2549
Address
1887 Kingsley Ave Ste 1900
Enumeration Date
6 June 2017
Last Update Date
7 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
9234405549
Group Practice PAC ID
9133025869
Professional Enrollment ID
I20230816001042
Address ID
FL322096511JA655XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,454 CRITICAL CARE (INTENSIVISTS) in FL

Provider Addresses for ADITI JALLA (MD)

  • 1887 Kingsley Ave Ste 1900

    Orange Park, FL 320734451

    Phone: (904) 276-2549

    Fax: (904) 276-9235

    Type: Location

  • Stanton L Young Boulevard, Oklahoma City, Oklahoma County, Oklahoma, 73117, United States

    OKLAHOMA CITY, OK 731045018

    Phone: (405) 271-6308

    Type: Mailing

  • OU Medical Center, 700, Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73104, United States

    OKLAHOMA CITY, OK 731045004

    Phone: (405) 271-4000

    Type: Location

  • PO BOX 44008

    JACKSONVILLE, FL 322314008

    Phone: (904) 244-3416

    Fax: (904) 244-3415

    Type: Mailing

  • 655 W 8TH ST

    JACKSONVILLE, FL 322096511

    Phone: (904) 244-3416

    Type: Location

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 $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($35).

Total Amount

$35

General + Research + Ownership

Payments

1

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-08-16

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
I20230816001042ICritical Care (Intensivists)FLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2214$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1914$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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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: 9133025869View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
-MN
Physician AssistantFL
Diagnostic RadiologyFL
Internal MedicineFL
-FL
Clinical PsychologistFL
U R O L O G YFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I use this page to confirm ADITI JALLA (MD)'s NPI?
Yes. ADITI JALLA (MD) is listed with NPI 1326577156 in the public NPI dataset.
Is ADITI JALLA (MD) listed as active for patients and plans?
The listing shows ADITI JALLA (MD) as active in the NPI system.
What healthcare role does ADITI JALLA (MD) hold?
Scheduling teams often label ADITI JALLA (MD) under Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is ADITI JALLA (MD) based?
ADITI JALLA (MD) is tied to Orange Park, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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