AJITH KUMAR POTLURI (M.D.) – Psychiatry Physician, NPI 1194791392

AJITH KUMAR POTLURI (M.D.) is a healthcare provider. based in Kissimmee, Florida. specializing in NEUROPSYCHIATRY, PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. ME115004 (FL). The NPI Number for AJITH KUMAR POTLURI (M.D.) is 1194791392

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
AJITH KUMAR POTLURI (M.D.)
NPI
1194791392
Phone
(407) 962-7449
Address
3391 W VINE ST STE 303
Enumeration Date
27 February 2006
Last Update Date
1 June 2022

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
4079627449
Graduation Year
2006 (20 years ago)
PAC ID
0749299931
Group Practice PAC ID
0749415644
Professional Enrollment ID
I20131202000503
Address ID
FL347414665KI3391XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

83 NEUROPSYCHIATRY in FL

Provider Addresses for AJITH KUMAR POTLURI (M.D.)

  • 3391 W VINE ST STE 303

    KISSIMMEE, FL 347414665

    Phone: (407) 962-7449

    Fax: (407) 932-0303

    Type: Mailing

  • 3389, West Vine Street, Kissimmee, Osceola County, Florida, 34741, United States

    SUITE 304

    KISSIMMEE, FL 347414665

    Phone: (407) 962-7449

    Fax: (407) 563-5491

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 295 Open Payments records for all available years, with a total value of $6,218.

Total Amount is formed as General ($6,218) + Research ($0) + Ownership ($0) = $6,218.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($978).

Total Amount

$6,218

General + Research + Ownership

Payments

295

Total payment records

General Amount

$6,218

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-12-02

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
I20131202000503INeuropsychiatryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes563131$0
90792Psychiatric diagnostic evaluation with medical services6766$0
90833Psychotherapy with evaluation and management visit, 30 minutes3117$0
View full utilization report →

Insurance plans in this area (ZIP 34741)

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Provider's Procedures

AJITH KUMAR POTLURI (M.D.) performs procedures in NEUROPSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROPSYCHIATRYFL90792Psychiatric diagnostic evaluation with medical services1313

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: 0749415644View full group profile
NameSpecialtyState
Nurse PractitionerFL

Reviews

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Frequently asked questions

What identifier follows AJITH KUMAR POTLURI (M.D.) across health systems?
The NPI 1194791392 uniquely identifies AJITH KUMAR POTLURI (M.D.) in U.S. healthcare data.
Quick check: is AJITH KUMAR POTLURI (M.D.) active?
Public NPPES data shows AJITH KUMAR POTLURI (M.D.) with an active NPI status right now.
What does the directory say AJITH KUMAR POTLURI (M.D.) does?
Insurance directories may phrase it differently, but here AJITH KUMAR POTLURI (M.D.) maps to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to AJITH KUMAR POTLURI (M.D.)?
AJITH KUMAR POTLURI (M.D.) is associated with Kissimmee, Florida in the same public data insurers reference.
Why is information missing for AJITH KUMAR POTLURI (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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