PUSHPA PAVULURI (M.D.) – Internal Medicine Physician, NPI 1194771204
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,517 INTERNAL MEDICINE in IN
Provider Addresses for PUSHPA PAVULURI (M.D.)
Market Street, Charlestown, Clark County, Indiana, 47111, United States
CHARLESTOWN, IN 471119535
Phone: (812) 503-5100
Fax: (770) 573-9513
Type: Mailing
1802 E 10th St
Jeffersonville, IN 471306016
Phone: (812) 288-2488
Fax: (770) 573-9513
Type: Location
815 Short St
Charlestown, IN 471111241
Phone: (812) 503-5100
Fax: (770) 573-9513
Type: Location
1804 E 10th St
Jeffersonville, IN 471306016
Phone: (812) 288-2488
Fax: (770) 573-9513
Type: Location
1802, East 10th Street, Jeffersonville, Clark County, Indiana, 47130, United States
JEFFERSONVILLE, IN 471306016
Phone: (812) 288-2488
Fax: (770) 573-9513
Type: Location
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone:
Type: Mailing
4917 DIXIE HWY STE E
LOUISVILLE, KY 402162565
Phone: (502) 414-5043
Fax: (877) 243-0175
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $133.
Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($40).
Total Amount
$133
General + Research + Ownership
Payments
7
Total payment records
General Amount
$133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050607000045 | I | Internal Medicine | KY | TBD |
| I20150224000520 | I | Internal Medicine | IN | TBD |
| I20221104002137 | I | Internal Medicine | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | KY | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Family Practice | AL | |
| Family Practice | KY | |
| Internal Medicine | KY | |
| Nurse Practitioner | FL | |
| Family Practice | KY | |
| Internal Medicine | KY |
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