SANGEETHA PABOLU (M.D.) – Rheumatology Physician, NPI 1093970022
Rheumatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
249 RHEUMATOLOGY in NJ
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Provider Addresses for SANGEETHA PABOLU (M.D.)
37 AUTUMN LN
SKILLMAN, NJ 085582662
Phone: (432) 269-8326
Type: Mailing
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
Saint Peter's University Hospital, 254, Easton Avenue, New Brunswick, Middlesex County, New Jersey, 08901, United States
NEW BRUNSWICK, NJ 08901
Phone: (732) 745-8600
Fax: (732) 745-3847
Type: Location
425 UNIVERSITY BLVD
ROUND ROCK, TX 786651047
Phone: (512) 509-0200
Fax: (512) 509-0285
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-08-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210827001350 | I | Rheumatology | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 181 | 85 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 49 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 31 | 31 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 17 | 15 | $0 |
Insurance plans in this area (ZIP 08558)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
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