Kodanda Ramulu Shali Valusa, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2021-03325 Issued in NC

Practice address

591 Old Fort Rd
Rocky Mount, VA 24151-2022

Phone

(000) 000-0000

NPI assigned

Jul 23, 2009

Last updated

Nov 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robeson Hospitalist Group PLLCGroup PAC ID 2567898430, 33 clinicians

Southeastern Regional Medical CenterGroup PAC ID 7315857141, 54 clinicians

Southeastern Regional Physician ServicesGroup PAC ID 7012058548, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

Merit-based Incentive Payment System (MIPS)

Final score

95.78 of 100Reported as group

Quality

81.28

Promoting interoperability

100

Improvement activities

40

Cost

80.81

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Robeson Hospitalist Group PLLC

  • Hospitalist Physician
  • Lumberton, NC
  • NPI 1336782507
  Medicare reassignment Care Compare group NPD
• Southeastern Regional Medical Center

  dba Southeastern Hospitalists

  • Hospitalist Physician
  • Lumberton, NC
  • NPI 1659531952
  Medicare reassignment Care Compare group NPD
• Southeastern Regional Physician Services

  • Multi-Specialty Clinic/Center
  • Lumberton, NC
  • NPI 1427282045
  Medicare reassignment Care Compare group NPD
• Southeastern Regional Medical Center

  dba Southeastern Radiology

  • Diagnostic Radiology Physician
  • Lumberton, NC
  • NPI 1932089612
  NPD
• Southeastern Regional Physician Services

  dba Southeastern Multi-Specialty Clinic at Gibson Cancer Center

  • Multi-Specialty Clinic/Center
  • Lumberton, NC
  • NPI 1265165518
  NPD

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

• Southeastern Regional Medical Center

  dba UNC Health Southeastern

  • General Acute Care Hospital
  • Lumberton, NC
  • NPI 1427030774
  Care Compare affiliation

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1356571459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 OLD FORT RD",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241512022",
            "telephone_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 OLD FORT RD",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241512022",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W 27th St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283583075",
            "country_code": "US",
            "telephone_number": "910-671-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALUSA",
        "first_name": "KODANDA RAMULU SHALI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "6169",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-03325",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101252634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison R Trumpore, M.A. CCC-SLP
• Nephetia E Tryman, LPC, LMHP
• Madison Turbyfill
• Craig F Turner, DO
• Sherrie Agee Turner, RN
• Rene Neri Vamenta, M.D.
• Nancy Vanbeek, RN, NP
• Virginia CVS Pharmacy LLC (CVS Pharmacy 07565)
• Virginia CVS Pharmacy LLC (CVS Pharmacy #03544)
• Vistar Eye Center, Inc

• Family Medicine Physician in Rocky Mount, VA
• Providers in Rocky Mount, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.

Verify at the official NPI Registry.