Sunitha R Cherukupally, MD

Individual provider Active NPI Internal Medicine Physician · Columbus, OH

NPI 1780724682 · NPPES record last updated Jan 25, 2022

Key facts

NPI
1780724682
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
35-082738 (OH)
Practice address
111 S Grant Ave
Columbus, OH 43215-4701
Phone
(614) 566-8883
Fax
(614) 566-8149
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth Corporation (2,295 clinicians)

Practice addresses (Care Compare)

111 S Grant Ave
Columbus, OH 43215-4701
Phone (614) 566-9489

Hospital & facility affiliations

  • Dublin Methodist Hospital Hospital · Dublin, OH · CCN 360348
  • Grant Medical Center Hospital · Columbus, OH · CCN 360017

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100 (group)
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20051215000155 OH Practitioner - Internal Medicine 1355335597 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-082738OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Current
since Sep 20, 2010
Accepting new patients
Ohiohealth Corporation Internal Medicine Current
since Sep 20, 2010
Accepting new patients
Hospitalist Medicine Physicians of Franklin County, LTD Internal Medicine Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Hospitalist Medicine Physicians of Wood County, PLLC Internal Medicine Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

Dept L3652
Columbus, OH 43260

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-082738 OH Yes

Addresses

Primary practice location

111 S Grant Ave
Columbus, OH 43215-4701

Mailing address

5400 Frantz Rd
Suite 250
Dublin, OH 43016-4144

Other identifiers

IdentifierTypeStateIssuer
2440460MedicaidOH

Other names

  • Sunitha R Mudunuri Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address smudunuri14711@direct.ohiohealth.com OhioHealth Physician Group

Other providers in Columbus, OH

All providers in Columbus, OH · Internal Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.