NPIMap

Individual provider Active NPI

Sreenivasulu Cherlo, M.D.

  • Internal Medicine Physician
  • Cleveland, TX
National Provider Identifier
1578664116
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1393 Issued in TX
Practice address
211 S. College Ave.
Cleveland, TX 77327-4503
Phone
(281) 592-8622
Fax
(281) 592-8699
NPI assigned
Sep 26, 2006
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1393 TX Primary

Addresses

Primary practice location

211 S. College Ave.
Cleveland, TX 77327-4503

Mailing address

211 S College Ave
Cleveland, TX 77327-4503
Phone (281) 592-8622

Other practice location 1

19701 Kingwood Dr Bldg 10
Kingwood, TX 77339-3775
Phone (281) 592-8622 ext. 207

Other identifiers 2

IdentifierTypeStateIssuer
K1393OtherTXMEDICAL LICENSE
111766506MedicaidTX

Other names 1

  • Sreenivasula Cherlo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100512000110 TX Practitioner - Internal Medicine 9537297569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Medic, P.a.Group PAC ID 7012958754, 2 clinicians

Practice addresses (Care Compare)

211 S College Ave
Cleveland, TX 77327-4503
Phone (281) 592-8622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
93.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1393TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Medic, P.a. Internal Medicine CurrentSince Apr 1, 2003 Accepting new patients
Prime Medic Network, PLLC Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients

Locations

211 S College Ave
Cleveland, TX 77327
Phone (281) 592-5779

213 S College Ave
Cleveland, TX 77327
Phone (281) 592-8622

19701 Kingwood Dr
Bldg 10
Kingwood, TX 77339
Phone (281) 547-4050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJAAAA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cleveland Health Care CenterCleveland, TX, CCN 455952 Skilled nursing facility Adp of the SNF Jun 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 6

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1578664116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S COLLEGE AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274503",
            "telephone_number": "281-592-8622",
            "fax_number": "281-592-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S. COLLEGE AVE.",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274503",
            "telephone_number": "281-592-8622",
            "fax_number": "281-592-8699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19701 Kingwood Dr Bldg 10",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773393775",
            "country_code": "US",
            "telephone_number": "281-592-8622 x207",
            "fax_number": "281-592-8699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERLO",
        "first_name": "SREENIVASULU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "K1393",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111766506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SREENIVASULA",
            "last_name": "CHERLO",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cleveland, TX

Sources for this page

Verify at the official NPI Registry.