Pallavi R. Cherukupally, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME127634 Issued in FL

Practice address

10920 Moss Park Rd Ste 218
Orlando, FL 32832-6087

Phone

(407) 730-5600

Fax

(407) 289-4036

NPI assigned

May 18, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regenerative Sport Spine and Spa

  • Medical Specialty Clinic/Center
  • Orlando, FL
  • NPI 1598252090
  Authorized official Same address or phone
• Wellness Reclamation LLC

  • Physical Medicine & Rehabilitation Physician
  • Orlando, FL
  • NPI 1871284034
  NPD
• Portner Orthopedic Rehabilitation Incorporated

  • Physical Medicine & Rehabilitation Physician
  • Kaneohe, HI
  • NPI 1316087315
  NPD (past)
• Schwab Faculty Associates Inc

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1902859861

  Physical Medicine & Rehabilitation

  NPD (past)
• Schwab Rehabilitation Hospital and Care Network

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1700968492
  NPD (past)
• Scott J. Miscovich MD, LLC

  • Family Medicine Physician
  • Kaneohe, HI
  • NPI 1073796868
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144273723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 MOSS PARK RD STE 218",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326087",
            "telephone_number": "407-730-5600",
            "fax_number": "407-289-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 MOSS PARK RD STE 218",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326087",
            "telephone_number": "407-730-5600",
            "fax_number": "407-289-4036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6635 Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Morrow",
            "state": "GA",
            "postal_code": "302602354",
            "country_code": "US",
            "telephone_number": "770-968-1323",
            "fax_number": "770-968-4556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERUKUPALLY",
        "first_name": "PALLAVI",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "057788",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME127634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319151189A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319151189B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319151189C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319151189D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Cherowitz, M.S.
• Elizabeth A. Cherry, DMD
• Kianna Nichole Cherry
• Richard N Cherry, ARNP
• Simon Cherubin, PTA
• Chery Health and Wellness LLC (Chery Telecare)
• Telmis Rosa Chery Semanat
• Alain Timothee Chery, APRN
• Ina Chery, APRN
• Jeta Chery, OTR

• Physical Medicine & Rehabilitation Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.