Individual provider Active NPI

Srikanth Davuluri, MD

  • Pulmonary Disease Physician
  • Pleasant Prairie, WI
National Provider Identifier
1205034998
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
3386 Issued in WI
Practice address
9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone
(262) 577-8300
Fax
(262) 577-8414
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 3386 WI
Sleep Medicine (Internal Medicine) Physician 207RS0012X 3386 WI
Pulmonary Disease Physician 207RP1001X 3386 WI Primary

Addresses

Primary practice location

9555 76TH St
Pleasant Prairie, WI 53158-1984

Mailing address

Froedtert Pleasant Prairie Hospital
9555 76TH Street
Pleasant Prairie, WI 53158
Phone (262) 577-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120523000139 IL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0244493658 Reassigns benefits to 3 organizations
I20230920002028 WI Practitioner - Pulmonary Disease 0244493658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert South IncGroup PAC ID 9537071196, 158 clinicians

Practice addresses (Care Compare)

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8300

Hospital & facility affiliations

  • Horizon Homecare and Hospice Hospice, Milwaukee, WI, CCN 521531
  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
69.39
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Swedishamerican Hospital Pulmonary Disease Current Accepting new patients
Swedishamerican Hospital CurrentSince Sep 4, 2023 Accepting new patients
Hospitalist Physicians of Illinois, P.C. Critical Care Medicine CurrentSince Jun 12, 2023 Accepting new patients
Froedtert South, Inc. CurrentSince Oct 2, 2023 Accepting new patients
Swedishamerican Hospital Pulmonary Disease CurrentSince Sep 4, 2023 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Mar 1, 2014 Accepting new patients
Waukegan Clinic Corp CurrentSince Mar 1, 2014 Accepting new patients
Riverside Health System Past Accepting new patients
Froedtert South, Inc. Past Accepting new patients
Riverside Health System Past Accepting new patients

Locations

15 Tower Ct
Ste 265
Gurnee, IL 60031
Phone (847) 360-9800

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

9555 76th St
Fl 2
Pleasant Prairie, WI 53158
Phone (262) 577-8300

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

Interoperability endpoints

  • Direct secure messaging: davulurs@yourcarecommunity.org
  • Direct secure messaging: sdavuluri691509@direct.froedtert.com
  • Direct secure messaging: sdavuluri145469@cityofhope.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1205034998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FROEDTERT PLEASANT PRAIRIE HOSPITAL",
            "address_2": "9555 76TH STREET",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "53158",
            "telephone_number": "262-577-8300",
            "fax_number": "262-577-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 76TH ST",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581984",
            "telephone_number": "262-577-8300",
            "fax_number": "262-577-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVULURI",
        "first_name": "SRIKANTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "3386",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WI",
            "license": "3386",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "3386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Prairie, WI

Sources for this page

Verify at the official NPI Registry.