NPIMap

Individual provider Active NPI

Shravan Kooragayalu, MD

  • Pulmonary Disease Physician
  • Cumberland, MD
National Provider Identifier
1346502697
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D90372 Issued in MD
Practice address
12502 Willowbrook Rd Ste 280
Cumberland, MD 21502-6494
Phone
(240) 964-8750
Fax
(240) 964-8699
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 00292848 NY
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X D90372 MD Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D90372 MD

Addresses

Primary practice location

12502 Willowbrook Rd Ste 280
Cumberland, MD 21502-6494

Mailing address

PO Box 1671
Cumberland, MD 21501-1671
Phone (240) 964-8342

Other practice location 1

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-7575

Other practice location 2

68 Harris Bushville Rd
Harris, NY 12742
Phone (845) 794-3379

Other practice location 3

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-8750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skooragayalu51387@direct.garnethealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, DC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201015001154 MD Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9739467721 Reassigns benefits to 3 organizations
I20220721001932 PA Practitioner - Pulmonary Disease 9739467721 Reassigns benefits to 1 organization
I20221219001870 DC Practitioner - Internal Medicine 9739467721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12502 Willowbrook Rd
Suite 280
Cumberland, MD 21502-6494
Phone (240) 964-8750

562 Shearer St
Suite 103
Greensburg, PA 15601-2746
Phone (724) 837-1894

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D90372MDMDCritical Care Medicine (Internal Medicine) Physician
00292848NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jul 29, 2022 Accepting new patients
Anacostia Medical Associates Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Oct 19, 2020 Accepting new patients
Usacs Critical Care Medicine Services East, LLC Multi-Specialty CurrentSince Nov 1, 2022 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jul 29, 2022 Accepting new patients
Upmc Western Maryland Health Services, LLC Multi-Specialty Current Accepting new patients
Upmc Western Maryland Corporation Multi-Specialty CurrentSince Oct 19, 2020 Accepting new patients
Excela Health Physician Practices, Inc Multi-Specialty Current Accepting new patients
Upmc Western Maryland Health Services, LLC Multi-Specialty CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation Multi-Specialty Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Ste 280
Cumberland, MD 21502
Phone (240) 964-8750

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

562 Shearer St
Ste 103
Greensburg, PA 15601
Phone (724) 850-3150

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

Interoperability endpoints

  • Direct secure messaging: skooragayalu141958@upmc.direct-ci.com
  • Direct secure messaging: shravan.kooragayalu@upmcdirect.com
  • Direct secure messaging: skooragayalu51387@direct.garnethealth.org

Organizations & group practices 11

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1346502697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1671",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011671",
            "telephone_number": "240-964-8342",
            "fax_number": "240-964-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD STE 280",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026494",
            "telephone_number": "240-964-8750",
            "fax_number": "240-964-8699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-333-7575",
            "fax_number": "845-333-7202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Harris Bushville Rd",
            "address_purpose": "LOCATION",
            "city": "Harris",
            "state": "NY",
            "postal_code": "12742",
            "country_code": "US",
            "telephone_number": "845-794-3379",
            "fax_number": "845-791-4136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12500 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026393",
            "country_code": "US",
            "telephone_number": "240-964-8750",
            "fax_number": "240-964-8699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOORAGAYALU",
        "first_name": "SHRAVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "00292848",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D90372",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D90372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skooragayalu51387@direct.garnethealth.org",
            "affiliation": "Y",
            "address_1": "707 E Main St",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109402650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.