MS. POOJITHA KOLLURI (MD) – Family Medicine Physician, NPI 1306402870
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
Provider Addresses for MS. POOJITHA KOLLURI (MD)
2200 JEFFERSON AVENUE - MERCY FAMILY PHYSICIAN
TOLEDO, OH 43604
Phone: (419) 251-1859
Fax: (419) 251-4159
Type: Location
2200 Jefferson Avenue - Mercy Family Physician
Toledo, OH 43604
Phone: (419) 251-1859
Fax: (419) 251-4159
Type: Location
200 S CEDAR ST
SHELBYVILLE, IL 625651838
Phone: (217) 774-4400
Fax: (217) 774-6445
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $1,491.
Total Amount is formed as General ($1,491) + Research ($0) + Ownership ($0) = $1,491.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Amgen Inc. ($229).
Total Amount
$1,491
General + Research + Ownership
Payments
89
Total payment records
General Amount
$1,491
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $229 |
| ABBVIE INC. | $222 |
| Novartis Pharmaceuticals Corporation | $221 |
| Novo Nordisk Inc | $219 |
| Sumitomo Pharma America, Inc. | $137 |
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: 2022-05-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220525002763 | I | Family Practice | 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 43604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
Reviews
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