SRIVARSHA KORIPELLA (MD) – Emergency Medicine Physician, NPI 1164928065

SRIVARSHA KORIPELLA (MD) is a healthcare provider. based in Bowling green, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35.141629 (OH). The NPI Number for SRIVARSHA KORIPELLA (MD) is 1164928065

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SRIVARSHA KORIPELLA (MD)
NPI
1164928065
Phone
(419) 354-8900
Address
950 W WOOSTER ST
Enumeration Date
1 April 2018
Last Update Date
6 June 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8002486777
Graduation Year
2018 (8 years ago)
PAC ID
8325393911
Group Practice PAC ID
3173892627
Professional Enrollment ID
I20220824003221
Address ID
MI497702212PE416XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for SRIVARSHA KORIPELLA (MD)

  • 950 W WOOSTER ST

    BOWLING GREEN, OH 434022603

    Phone: (419) 354-8900

    Type: Mailing

  • 2310, Kirkton Drive, Troy, Oakland County, Michigan, 48083, United States

    TROY, MI 480831643

    Phone: (248) 635-8134

    Type: Mailing

  • Detroit Receiving Hospital and University Health Center, 4201, Saint Antoine Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    DETROIT, MI 482012153

    Phone: (313) 745-3330

    Type: Location

  • 4201 Saint Antoine St

    Detroit, MI 482012153

    Phone: (313) 745-3330

    Type: Location

  • 500 Osborn Blvd

    Sault Sainte Marie, MI 497831822

    Phone: (190) 625-3102

    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: 2022-08-24

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
I20220824003221IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making118115$0
99291Critical care, first 30-74 minutes7672$0
99284Emergency department visit with moderate level of medical decision making7371$0
99283Emergency department visit with low level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 43402)

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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: 3173892627View full group profile
NameSpecialtyState
Emergency MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicinePA
-MI
-MI
-MI

Reviews

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Frequently asked questions

What federal number belongs to SRIVARSHA KORIPELLA (MD)?
The federal identifier for SRIVARSHA KORIPELLA (MD) is NPI 1164928065.
Is SRIVARSHA KORIPELLA (MD) currently active in the NPI registry?
CMS-published data lists SRIVARSHA KORIPELLA (MD) as an active registrant.
What kind of provider is SRIVARSHA KORIPELLA (MD)?
The page reflects Emergency Medicine Physician for SRIVARSHA KORIPELLA (MD). Clinical services aligned with this taxonomy classification.
Where is SRIVARSHA KORIPELLA (MD)'s primary listing?
We display Bowling Green, Ohio because that is what the record indicates for SRIVARSHA KORIPELLA (MD).
How can I contact SRIVARSHA KORIPELLA (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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