Active NPI
Akhil Kolluri
- Diagnostic Radiology Physician
- Orlando, FL
National Provider Identifier
1255969903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME173387
- Practice address
- 52 W Underwood St
MP 153
Orlando, FL 32806 - Phone
- (321) 842-8475
- Fax
- (407) 849-6470
- NPI assigned
- Mar 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME173387 | FL | Primary |
Addresses
Primary practice location
52 W Underwood St
MP 153
Orlando, FL 32806
Mailing address
52 W Underwood St
MP 153
Orlando, FL 32806
Phone (321) 842-8475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200630002918 | NC | Order and Referring Only - Internal Medicine | 3870916380 |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Virginia Commonwealth University, School of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
52 W Underwood St
MP 153
Orlando, FL 32806-1110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME173387 | FL | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1255969903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 W UNDERWOOD ST",
"address_2": "MP 153",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32806",
"telephone_number": "321-842-8475",
"fax_number": "407-849-6470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 W UNDERWOOD ST",
"address_2": "MP 153",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32806",
"telephone_number": "321-842-8475",
"fax_number": "407-849-6470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLURI",
"first_name": "AKHIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME173387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.