Pushpa Pavuluri, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36739 Issued in KY

Practice address

4917 Dixie Hwy Ste E
Louisville, KY 40216-2565

Phone

(502) 414-5043

Fax

(877) 243-0175

NPI assigned

May 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY, IN, IL3 enrollments

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 3

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care Ky PSCGroup PAC ID 8022492024, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pushpa.pavuluri.1@29601.direct.athenahealth.com

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

• Centerwell Senior Primary Care Ky PSC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1376282038
  Medicare reassignment Care Compare group
• Wellbe Senior Medical Illinois PC

  • Internal Medicine Physician
  • Lisle, IL
  • NPI 1306499363
  Medicare reassignment NPD
• North Clark Medical Group LLC

  • General Practice Physician
  • Jeffersonville, IN
  • NPI 1376095711
  Medicare reassignment
• Zilmed LLC

  • Family Medicine Physician
  • Jeffersonville, IN
  • NPI 1083131957

  KY

  Medicare reassignment
• Centerwell Senior Primary Care (Ky) PSC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1699549683
  NPD
• Centerwell Senior Primary Care Ky PSC

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1750093738
  NPD
• Centerwell Senior Primary Care Ky PSC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1043959745
  NPD (past)
• North Clark Anesthesia Group LLC

  • Anesthesiology Physician
  • Charlestown, IN
  • NPI 1235757709
  NPD (past)
• North Clark Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlestown, IN
  • NPI 1376161810
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1194771204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 DIXIE HWY STE E",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402162565",
            "telephone_number": "502-414-5043",
            "fax_number": "877-243-0175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471306016",
            "country_code": "US",
            "telephone_number": "812-288-2488",
            "fax_number": "770-573-9513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Short St",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "IN",
            "postal_code": "471111241",
            "country_code": "US",
            "telephone_number": "812-503-5100",
            "fax_number": "770-573-9513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1804 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471306016",
            "country_code": "US",
            "telephone_number": "812-288-2488",
            "fax_number": "770-573-9513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVULURI",
        "first_name": "PUSHPA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "36739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00307134",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64101884",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pushpa.pavuluri.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4917 Dixie Hwy Ste E",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402162565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Pavlat, OTRL
• Nicholas Thales Pavlatos, MD
• Ruben Pavlov, LCADC
• Pavon Family Dentistry P.S.C.
• Hugo Pavon, D.M.D.
• Mary Ellen Pawley, RN MSN APRN BC FNP
• Sydney Pawley, PT, DPT
• Pax House Inc.
• Pax Recovery Center LLC
• Benjamin Paxton

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.