SHRUTHI EDUNURI (MD) – Student in an Organized Health Care Education/Training Program, NPI 1073769113
Student in an Organized Health Care Education/Training Program
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Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for SHRUTHI EDUNURI (MD)
4602 DEPT
CAROL STREAM, IL 601220021
Phone: (906) 225-4821
Fax: (906) 225-4537
Type: Mailing
Eye Associates of Marquette, 1414, West Fair Avenue, Marquette, Marquette County, Michigan, 49855, United States
SUITE 36
MARQUETTE, MI 498552675
Phone: (906) 225-3864
Fax: (906) 225-3851
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-05-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130801000171 | I | Family Practice | DC | TBD |
| I20150526001705 | I | Family Practice | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 408 | 198 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 89 | 89 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 55 | $0 |
| G0008 | Administration of influenza virus vaccine | 55 | 55 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 54 | 54 | $0 |
Insurance plans in this area (ZIP 60122)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MD | |
| Family Practice | VA | |
| Family Practice | OH | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| Family Practice | MD | |
| Internal Medicine | VA | |
| Family Practice | VA | |
| Emergency Medicine | VA |
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