PRAPHULLA HEBBALALU (M.D.) – Internal Medicine Physician, NPI 1174549331

PRAPHULLA HEBBALALU (M.D.) is a healthcare provider. based in Newtown square, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 25MA07997600 (NJ). The NPI Number for PRAPHULLA HEBBALALU (M.D.) is 1174549331

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
PRAPHULLA HEBBALALU (M.D.)
NPI
1174549331
Phone
(484) 454-6268
Address
15 CAMPUS BLVD
Enumeration Date
14 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6099455724
Graduation Year
1993 (33 years ago)
PAC ID
5890701932
Group Practice PAC ID
2668492711
Professional Enrollment ID
I20060228000221
Address ID
NJ085361913PL1XXXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

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Provider Addresses for PRAPHULLA HEBBALALU (M.D.)

  • 15, Campus Boulevard, Newtown Square Corporate Campus, Newtown Township, Delaware County, Pennsylvania, 19073, United States

    SUITE 200

    NEWTOWN SQUARE, PA 190733200

    Phone: (484) 454-6268

    Type: Location

  • 214, Hampshire Drive, Hampshire, Princeton Meadows, Plainsboro Township, Middlesex County, New Jersey, 08536, United States

    PLAINSBORO, NJ 085364346

    Phone: (732) 750-5951

    Type: Mailing

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: 2006-02-28

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
I20060228000221IInternal MedicineNJTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,030293$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes18553$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes14145$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13169$0
99239Hospital discharge day management, more than 30 minutes108107$0
View full utilization report →

Insurance plans in this area (ZIP 19073)

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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: 2668492711View full group profile
NameSpecialtyState
Internal MedicineNJ
Physician AssistantNJ
Family PracticeLA
Internal Medicine, General PracticeNJ
Internal MedicineNJ
Internal MedicineCA
Internal MedicineNY
Internal Medicine, Geriatric Medicine, NephrologyNJ
Nurse PractitionerPA
Internal MedicineNY

Reviews

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Frequently asked questions

Where can patients find PRAPHULLA HEBBALALU (M.D.)'s NPI?
You can confirm PRAPHULLA HEBBALALU (M.D.) with NPI 1174549331; it appears in the national provider directory.
Does this profile mean PRAPHULLA HEBBALALU (M.D.) is currently active?
Yes — PRAPHULLA HEBBALALU (M.D.) appears active in the national provider directory.
What does PRAPHULLA HEBBALALU (M.D.) treat or focus on?
Patients typically see PRAPHULLA HEBBALALU (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for PRAPHULLA HEBBALALU (M.D.)?
We surface Newtown Square, Pennsylvania for PRAPHULLA HEBBALALU (M.D.) based on available NPPES addresses.
What if Newtown Square, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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