Sandeep Kumar Valluri

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

58781 Issued in KY

Practice address

1925 Pacific Ave
Atlantic City, NJ 08401-6713

Phone

(609) 464-2564

NPI assigned

May 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Internal Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cogent Healthcare of Kentucky, PSCGroup PAC ID 0648294157, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph London Hospital, London, KY, CCN 180011
• Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
• Pineville Community Health Center, Inc Hospital, Pineville, KY, CCN 180154
• Wayne County Hospital Hospital, Monticello, KY, CCN 181321
• Knox County Hospital Hospital, Barbourville, KY, CCN 181328

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cogent Healthcare of Kentucky, PSC

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1053362293
  Medicare reassignment Care Compare group NPD
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph London

  • Rural Acute Care Hospital
  • London, KY
  • NPI 1992701429
  NPD (past)

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

• Arh Mary Breckinridge Health Services, Inc.

  dba ARH Cumberland Valley Medical and Surgical Associates

  • Rural Health Clinic/Center
  • Middlesboro, KY
  • NPI 1962908277

  Hospital

  Care Compare affiliation
• Arh Mary Breckinridge Health Services, Inc.

  dba Barbourville ARH Hospital

  • Critical Access Hospital
  • Barbourville, KY
  • NPI 1992176655
  Care Compare affiliation
• Baptist Healthcare System, Inc

  dba Baptist Health Corbin

  • General Acute Care Hospital
  • Corbin, KY
  • NPI 1902865389
  Care Compare affiliation
• Pineville Community Health Center Inc

  • General Acute Care Hospital
  • Pineville, KY
  • NPI 1285292219
  Care Compare affiliation
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph London

  • Rural Acute Care Hospital
  • London, KY
  • NPI 1992701429
  Care Compare affiliation
• Wayne County Hospital, Inc

  • Critical Access Hospital
  • Monticello, KY
  • NPI 1871548016
  Care Compare affiliation

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1356916605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 MARSH HAMMOCK DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241877",
            "telephone_number": "904-660-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 PACIFIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016713",
            "telephone_number": "609-464-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLURI",
        "first_name": "SANDEEP KUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "58781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Twum-Barima, APN
• United Laboratory Services of America
• Scott Michael Urban, D,O.
• Muhammad Usama, MD
• Uscg Atlantic City Pharmacy
• Christopher Vandenberg, MD
• Erik Vandenberg
• Melenis Velez
• Yolanda Velezpadilla
• Madhusha Vemula, MD

• Internal Medicine Physician in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.