Individual provider Active NPI

Sreenivasulu Metikala, MD

  • Orthopaedic Surgery Physician
  • South Hill, VA
National Provider Identifier
1669957916
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101268694 Issued in VA
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

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930003184 VA Practitioner - Orthopedic Surgery 2567881121 Reassigns benefits to 2 organizations

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
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-7929

Hospital & facility affiliations

  • Community Memorial Hospital Hospital, South Hill, VA, CCN 490098
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032

Merit-based Incentive Payment System (MIPS)

Final score
85.74 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
77.96

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LT000393PAMDOrthopaedic Surgery Physician
0101268694VAMDOrthopaedic Surgery Physician
MT217233PAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
CMH Physician Services, LLC Orthopaedic Surgery CurrentSince Sep 1, 2020 Accepting new patients
MCV Associated Physicians Orthopaedic Surgery CurrentSince Nov 24, 2020 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.