MR. JAGAN ANNABATHULA (MD) – Internal Medicine Physician, NPI 1922090190

MR. JAGAN ANNABATHULA (MD) is a healthcare provider. based in Grethel, Kentucky. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 33239 (KY). The NPI Number for MR. JAGAN ANNABATHULA (MD) is 1922090190

Main info

Male
Name
MR. JAGAN ANNABATHULA (MD)
NPI
1922090190
Phone
(606) 587-2200
Address
7629 KY ROUTE 979
Enumeration Date
16 August 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. JAGAN ANNABATHULA (MD)

  • Grethel, Floyd County, Kentucky, 41631, United States

    GRETHEL, KY 416316304

    Phone: (606) 587-2200

    Fax: (606) 587-2203

    Type: Location

  • Prestonsburg, Floyd County, Kentucky, United States

    STE 3

    PRESTONSBURG, KY 416539101

    Phone: (606) 886-8546

    Fax: (606) 886-8548

    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.

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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: 2014-06-12

PECOS data refreshed: 2026-05-27

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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 41631)

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Reviews

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Frequently asked questions

What unique ID ties claims to MR. JAGAN ANNABATHULA (MD)?
NPI 1922090190 is assigned to MR. JAGAN ANNABATHULA (MD) under the national enumeration system.
Is MR. JAGAN ANNABATHULA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MR. JAGAN ANNABATHULA (MD)?
The page reflects Internal Medicine Physician for MR. JAGAN ANNABATHULA (MD). Clinical services aligned with this taxonomy classification.
Where does public data place MR. JAGAN ANNABATHULA (MD)?
The snapshot lists Grethel, Kentucky for MR. JAGAN ANNABATHULA (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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