NPIMap

Individual provider Active NPI

Sujana Reddy Kurri Yerram, M.D.

  • Psychiatry Physician
  • Collegeville, PA
National Provider Identifier
1497856561
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD432259 Issued in PA
Practice address
305 Second Ave
Collegeville, PA 19426-2658
Phone
(484) 961-8220
Fax
(610) 327-4432
NPI assigned
Sep 25, 2006
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD432259 PA Primary

Addresses

Primary practice location

305 Second Ave
Collegeville, PA 19426-2658

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324

Other practice location 1

361 S 11th St
Quakertown, PA 18951-1409
Phone (215) 538-3488

Other practice location 2

5666 Clymer Road
Quakertown, PA 18951-3264
Phone (215) 538-3488

Other practice location 3

161 North Main Street
Ste 14B
Dublin, PA 18917-1302
Phone (215) 538-3488

Other identifiers 1

IdentifierTypeStateIssuer
1020343050002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20071130000003 PA Practitioner - Psychiatry 2466541388 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pottstown Clinic Company LLCGroup PAC ID 6406857184, 112 clinicians

Practice addresses (Care Compare)

296 W Ridge PK
Limerick, PA 19468
Phone (610) 323-6835

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
76.12
Promoting interoperability
99
Improvement activities
40
Cost
73.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks Rehabilitation LLC CurrentSince Jun 23, 2024 Accepting new patients
Spanish American Civic Association for Equality, Inc CurrentSince Oct 28, 2021 Accepting new patients
Spanish American Civic Association for Equity, Inc Current Accepting new patients
Spanish American Civic Association for Equality, Inc CurrentSince Oct 28, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Psychiatry CurrentSince Jan 29, 2014 Accepting new patients
Pottstown Clinic Company LLC CurrentSince May 23, 2016 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 29, 2014 Accepting new patients
Momentum Services, LLC CurrentSince Jun 17, 2021 Accepting new patients
Pottstown Hospital, LLC Past Accepting new patients
Saratoga County Past Accepting new patients
Saratoga County PastSince Mar 1, 2000 Accepting new patients

Locations

4321 Easton Ave
Bethlehem, PA 18020
Phone (215) 538-3488

50 Parkwood Dr
Chambersburg, PA 17201
Phone (717) 262-2183

305 Second Ave
Collegeville, PA 19426
Phone (484) 961-8220

161 N Main St
Ste 14B
Dublin, PA 18917
Phone (215) 538-3488

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

545 Pershing Ave
Lancaster, PA 17602
Phone (717) 293-4150

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

361 S 11th St
Quakertown, PA 18951
Phone (215) 538-3488

5666 Clymer Rd
Quakertown, PA 18951
Phone (215) 538-3488

296 W Ridge Pike
Royersford, PA 19468
Phone (484) 706-9465

Organizations & group practices 12

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 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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1497856561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-1324",
            "fax_number": "610-327-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SECOND AVE",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262658",
            "telephone_number": "484-961-8220",
            "fax_number": "610-327-4432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "361 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189511409",
            "country_code": "US",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5666 Clymer Road",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189513264",
            "country_code": "US",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 North Main Street",
            "address_2": "Ste 14B",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "PA",
            "postal_code": "189171302",
            "country_code": "US",
            "telephone_number": "215-538-3488",
            "fax_number": "210-535-8692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURRI YERRAM",
        "first_name": "SUJANA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD432259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020343050002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.