NPIMap

Individual provider Active NPI

Sruthi Nelluri, M.D

  • Internal Medicine Physician
  • Carlisle, PA
National Provider Identifier
1669965232
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD480233 Issued in PA
Practice address
100 N Hanover St
Carlisle, PA 17013-2421
Phone
(717) 218-6670
NPI assigned
Jun 8, 2018
Reactivated
Feb 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT215391 PA
Internal Medicine Physician 207R00000X MD480233 PA Primary

Addresses

Primary practice location

100 N Hanover St
Carlisle, PA 17013-2421

Mailing address

100 N Hanover St
Carlisle, PA 17013-2421
Phone (717) 218-6670

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other practice location 2

2601 Holme Avenue
3rd Floor, Marian Bldg, Room 302
Philadelphia, PA 19152
Phone (215) 335-6051

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
I20240406000551 PA Practitioner - Internal Medicine 7416351788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sadler Health Center CorporationGroup PAC ID 4688646573, 15 clinicians

Practice addresses (Care Compare)

100 N Hanover St
Carlisle, PA 17013-2421
Phone (717) 218-6670

Hospital & facility affiliations

  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sadler Health Center Corporation CurrentSince Feb 13, 2024 Accepting new patients
Sadler Health Center Corporation Current Accepting new patients
Sadler Health Center Corporation Past Accepting new patients

Locations

1 Tyler Ct
Ste 2
Carlisle, PA 17015

100 N Hanover St
Carlisle, PA 17013
Phone (717) 218-6670

5210 E Trindle Rd
Mechanicsburg, PA 17050
Phone (717) 218-6670

Interoperability endpoints

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

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 9

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1669965232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HANOVER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132421",
            "telephone_number": "717-218-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HANOVER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132421",
            "telephone_number": "717-218-6670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Holme Avenue",
            "address_2": "3rd Floor, Marian Bldg, Room 302",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19152",
            "country_code": "US",
            "telephone_number": "215-335-6051",
            "fax_number": "215-335-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELLURI",
        "first_name": "SRUTHI",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "deactivation_date": "2019-01-25",
        "reactivation_date": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT215391",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD480233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.