Individual provider Active NPI

Deepika Reddy Pulusani, M.D.

  • Specialist
  • Memphis, TN
National Provider Identifier
1306937438
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD28857 Issued in TN
Practice address
6005 Park Ave
Suite 511
Memphis, TN 38119-5202
Phone
(901) 767-0402
Fax
(901) 767-0414
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD28857 TN Primary

Addresses

Primary practice location

6005 Park Ave
Suite 511
Memphis, TN 38119-5202

Mailing address

6005 Park Ave
Suite 511
Memphis, TN 38119-5202
Phone (901) 767-0402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20110323000231 TN Practitioner - Nephrology 8325221757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6005 Park Ave
Memphis, TN 38119-5215

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.95 of 100Reported as individual
Quality
76.42
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28857TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Deepika R Pulusani, MD, PC Specialist CurrentSince Jul 25, 2014 Accepting new patients

Locations

6005 Park Ave
Ste 511
Memphis, TN 38119
Phone (901) 767-0402

Interoperability endpoints

  • Direct secure messaging: dpulusani25344@mlh.direct-ci.com

Organizations & group practices 1

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 8

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306937438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 511",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-0402",
            "fax_number": "901-767-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 511",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-0402",
            "fax_number": "901-767-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULUSANI",
        "first_name": "DEEPIKA",
        "middle_name": "REDDY",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD28857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.