Sridevi Pavuluri MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SRIDEVI PAVULURI MD PA

Practice address

3828 Hughes CT
Suite 201
Dickinson, TX 77539-6244

Phone

(281) 534-9050

Fax

(281) 534-9030

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sridevi Pavuluri, MDNPI 1275578445

Title

President

Phone

(281) 534-9050

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sridevi Pavuluri, MD

  • Internal Medicine Physician
  • Dickinson, TX
  • NPI 1275578445

  Internal Medicine, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1649501818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775740529",
            "telephone_number": "281-534-9050",
            "fax_number": "281-534-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 HUGHES CT",
            "address_2": "SUITE 201",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775396244",
            "telephone_number": "281-534-9050",
            "fax_number": "281-534-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRIDEVI PAVULURI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "PAVULURI",
        "authorized_official_first_name": "SRIDEVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-534-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBSTX",
            "identifier": "0015TD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212493501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Dickinson, TX
• Providers in Dickinson, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.