NPIMap

Individual provider Active NPI

Sridevi Pavuluri, MD

  • Internal Medicine Physician
  • Dickinson, TX
National Provider Identifier
1275578445
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2749 Issued in TX
Practice address
3828 Hughes CT
Suite 201
Dickinson, TX 77539-6244
Phone
(281) 534-9050
Fax
(281) 534-9030
NPI assigned
Jun 19, 2006
Last updated
Apr 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2749 TX Primary

Addresses

Primary practice location

3828 Hughes CT
Suite 201
Dickinson, TX 77539-6244

Mailing address

PO Box 529
League City, TX 77574-0529
Phone (281) 534-9050

Other identifiers 2

IdentifierTypeStateIssuer
178446403MedicaidTX
8CF931OtherTXBCBSTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051027000336 TX Practitioner - Internal Medicine 5597782789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3828 Hughes CT
Suite 201
Dickinson, TX 77539-6249
Phone (281) 534-9050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2749TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sridevi Pavuluri MD PA Internal Medicine CurrentSince Jan 15, 2010 Accepting new patients
Inpatient Physician Associates PLLC Internal Medicine Past Accepting new patients
Nehme Alkarra MD PA Internal Medicine Past Accepting new patients

Locations

3828 Hughes Ct
Ste 201
Dickinson, TX 77539
Phone (281) 534-9050

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1275578445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775740529",
            "telephone_number": "281-534-9050",
            "fax_number": "281-534-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 HUGHES CT",
            "address_2": "SUITE 201",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775396244",
            "telephone_number": "281-534-9050",
            "fax_number": "281-534-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVULURI",
        "first_name": "SRIDEVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178446403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8CF931",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

Verify at the official NPI Registry.