SRANITA DEVARASETTY – Counselor, NPI 1396127346

SRANITA DEVARASETTY is a healthcare provider. based in Bentonville, Arkansas. specializing in FAMILY PRACTICE. They hold a License No. 105455 (GA). The NPI Number for SRANITA DEVARASETTY is 1396127346

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SRANITA DEVARASETTY
NPI
1396127346
Phone
(479) 464-1060
Address
602 N WALTON BLVD
Enumeration Date
26 June 2015
Last Update Date
5 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4042561727
Graduation Year
2022 (4 years ago)
PAC ID
9436536323
Group Practice PAC ID
0840271268
Professional Enrollment ID
I20251022000410
Address ID
GA300416092CU2860XBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for SRANITA DEVARASETTY

  • 602 N WALTON BLVD

    BENTONVILLE, AR 727124576

    Phone: (479) 464-1060

    Fax: (479) 271-6307

    Type: Mailing

  • PO BOX 1475

    DES MOINES, IA 503051475

    Phone: (515) 643-2682

    Fax: (515) 643-5802

    Type: Mailing

  • 1111 6TH AVE

    DES MOINES, IA 503142613

    Phone: (515) 643-2682

    Fax: (515) 643-5802

    Type: Location

  • 2860 RONALD REAGAN BLVD STE 200

    CUMMING, GA 300416289

    Phone: (404) 256-1727

    Fax: (404) 252-3591

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $339.

Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($132).

Total Amount

$339

General + Research + Ownership

Payments

8

Total payment records

General Amount

$339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251022000410IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72712)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840271268View full group profile
NameSpecialtyState
Family PracticeGA
Family PracticeGA
Family PracticeNC
Family PracticeSC
Family PracticeGA
Family PracticeGA
-GA
Internal MedicineAZ
Family PracticeGA
Family PracticeAL

Reviews

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Frequently asked questions

What unique ID ties claims to SRANITA DEVARASETTY?
NPI 1396127346 is assigned to SRANITA DEVARASETTY under the national enumeration system.
Is SRANITA DEVARASETTY active in the national directory?
SRANITA DEVARASETTY's public NPI profile is in an active state.
What kind of provider is SRANITA DEVARASETTY?
The page reflects Counselor for SRANITA DEVARASETTY. Clinical services aligned with this taxonomy classification.
Where does public data place SRANITA DEVARASETTY?
The snapshot lists Bentonville, Arkansas for SRANITA DEVARASETTY; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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