Active NPI
Harish Pulluru, MD
- Hospitalist Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 27509
- Practice address
- 3200 Maccorkle Ave SE Ste B-16
Charleston, WV 25304-1227 - Phone
- (304) 388-5848
- NPI assigned
- Jun 24, 2013
- Last updated
- Mar 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 27509 | WV | Primary |
Addresses
Primary practice location
3200 Maccorkle Ave SE Ste B-16
Charleston, WV 25304-1227
Mailing address
3200 Maccorkle Ave SE
Ste B16
Charleston, WV 25304-1227
Phone (304) 388-5848
Other practice location 1
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, WV, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Unmc Physicians | Current | Accepting new patients | |
| Apogee Medical Group of Pennsylvania PC | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Apogee Medical Group of Pennsylvania PC | Current | Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients | |
| The Nebraska Medical Center | Past | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Locations
15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
3100 Maccorkle Ave SE
Ste 203
Charleston, WV 25304
Phone (304) 345-8820
3200 Maccorkle Ave SE
Ste B16
Charleston, WV 25304
Phone (304) 388-5848
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
Interoperability endpoints
- hpulluru405575@direct.nebraskamed.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1568633535
PA
-
dba CAMC Pharmacy (#2)
- Community/Retail Pharmacy
- Charleston, WV
- NPI 1912247750
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1649227166
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
-
dba The Nebraska Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Nebraska Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1891134706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 MACCORKLE AVE SE",
"address_2": "STE B16",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041227",
"telephone_number": "304-388-5848",
"fax_number": "304-388-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 MACCORKLE AVE SE STE B-16",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041227",
"telephone_number": "304-388-5848"
}
],
"practiceLocations": [
{
"address_1": "1 Atwell Rd",
"address_purpose": "LOCATION",
"city": "Cooperstown",
"state": "NY",
"postal_code": "133261301",
"country_code": "US",
"telephone_number": "607-547-3456",
"fax_number": "607-547-6612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PULLURU",
"first_name": "HARISH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WV",
"license": "27509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.