Active NPI
Sreenivasulu Metikala, MD
- Orthopaedic Surgery Physician
- South Hill, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101268694
- Practice address
- 1755 N Mecklenburg Ave
South Hill, VA 23970-4080 - Phone
- (434) 584-2273
- NPI assigned
- Oct 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | LT000393 | PA | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | LT000393 | PA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MT217233 | PA | |
| Orthopaedic Surgery Physician | 207X00000X | 0101268694 | VA | Primary |
Addresses
Primary practice location
1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Mailing address
PO Box 623
South Hill, VA 23970-0623
Other practice location 1
51 N 39th St
Philadelphia, PA 19104-2640
Phone (215) 662-8000
Other practice location 2
800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-5933
Other practice location 3
800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-5933
Other practice location 4
1850 E Park Ave Ste 112
State College, PA 16803
Phone (814) 235-4775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-7929
Hospital & facility affiliations
- Community Memorial Hospital
- Medical College of Virginia Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.74 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.96
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT000393 | PA | MD | Orthopaedic Surgery Physician |
| 0101268694 | VA | MD | Orthopaedic Surgery Physician |
| MT217233 | PA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMH Physician Services, LLC | Current | Accepting new patients | |
| CMH Physician Services, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| MCV Associated Physicians | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669
1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- South Hill, VA
- NPI 1194760645
Orthopaedic Surgery
-
- Hospitalist Physician
- South Hill, VA
- NPI 1386028793
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Hill, VA
- NPI 1336103738
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1669957916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 623",
"city": "SOUTH HILL",
"state": "VA",
"postal_code": "239700623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 N MECKLENBURG AVE",
"city": "SOUTH HILL",
"state": "VA",
"postal_code": "239704080",
"telephone_number": "434-584-2273"
}
],
"practiceLocations": [
{
"address_1": "51 N 39th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191042640",
"country_code": "US",
"telephone_number": "215-662-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Spruce St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191076130",
"country_code": "US",
"telephone_number": "215-829-5933",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Spruce St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191076130",
"country_code": "US",
"telephone_number": "215-829-5933",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1850 E Park Ave Ste 112",
"address_purpose": "LOCATION",
"city": "State College",
"state": "PA",
"postal_code": "16803",
"country_code": "US",
"telephone_number": "814-235-4775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "METIKALA",
"first_name": "SREENIVASULU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-02",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "LT000393",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "PA",
"license": "LT000393",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "PA",
"license": "MT217233",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101268694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Hill, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.