JYOTHI ADSUMILLI, M.D., — NPI 1245508159 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1245508159

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208M00000X (CMS C6)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist

Box 32 Service Location & ZIP+4

170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA, 94062-2799

✓ 9-Digit EDI 837 ZIP+4 (94062-2799)

Practice Phone & Referral Fax

(650) 367-5659

Fax: (650) 482-6163

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1245508159 (JYOTHI ADSUMILLI, M.D.,) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1245508159` (NPI-1 Individual Practitioner)
Provider / Legal Name	JYOTHI ADSUMILLI, M.D.,
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist NUCC Code: `208M00000X` (Hospitalist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA, 94062-2799
Practice Telephone / Fax	Tel: (650) 367-5659 \| Fax: (650) 482-6163
Administrative Mailing Address	2100 POWELL ST STE 900, EMERYVILLE, CA, 94608-1844
Enumeration & Last Sync	Enumerated: 2011-12-06 \| CMS Record Updated: 2021-05-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA, 94062-2799

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Plain-English Taxonomy & CMS Crosswalk (208M00000X)

What Does Taxonomy Code 208M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208M00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C6 (Physician/Hospitalist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Hospitalist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JYOTHI ADSUMILLI, M.D.,)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: CA \| License: `A143924` \| Primary: Secondary
`207RG0300X` — Internal Medicine, Geriatric Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: CA \| License: `A143924` \| Primary: Secondary
`207RG0300X` — Internal Medicine, Geriatric Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: IL \| License: `036.132503` \| Primary: Secondary
`208M00000X` — Hospitalist Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist	State: CA \| License: `A143924` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JYOTHI ADSUMILLI, M.D., (NPI #1245508159)