MS. SRUTHI NELLURI (M.D) – Internal Medicine Physician, NPI 1669965232

MS. SRUTHI NELLURI (M.D) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. MT215391 (PA). The NPI Number for MS. SRUTHI NELLURI (M.D) is 1669965232

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. SRUTHI NELLURI (M.D)
NPI
1669965232
Phone
(267) 350-7418
Address
2601 HOLME AVENUE
Enumeration Date
8 June 2018
Deactivation Date
25 January 2019
Reactivation Date
6 February 2019
Last Update Date
12 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7172186670
Graduation Year
2016 (10 years ago)
PAC ID
7416351788
Group Practice PAC ID
4688646573
Professional Enrollment ID
I20240406000551
Address ID
PA170132421CA100XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

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Provider Addresses for MS. SRUTHI NELLURI (M.D)

  • Nazareth Hospital, 2601, Holme Avenue, Pennypack Park, Philadelphia, Philadelphia County, Pennsylvania, 19152, United States

    PHILADELPHIA, PA 19152

    Phone: (267) 350-7418

    Fax: (267) 350-7441

    Type: Mailing

  • 500 UNIVERSITY DR

    HERSHEY, PA 170332360

    Phone: (800) 243-1455

    Type: Mailing

  • 500 University Dr

    Hershey, PA 170332360

    Phone: (800) 243-1455

    Type: Location

  • 2601 Holme Avenue

    3rd Floor, Marian Bldg, Room 302

    Philadelphia, PA 19152

    Phone: (215) 335-6051

    Fax: (215) 335-6303

    Type: Location

  • 100 N HANOVER ST

    CARLISLE, PA 170132421

    Phone: (717) 218-6670

    Type: Mailing

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: 2024-04-06

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
I20240406000551IInternal MedicinePATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19152)

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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: 4688646573View full group profile
NameSpecialtyState
-PA
Clinical Social WorkerPA
Nurse PractitionerPA
Family PracticePA
Family PracticePA
Clinical Social WorkerPA
Nurse PractitionerPA
Registered Dietitian Or Nutrition ProfessionalPA
Clinical Social WorkerPA
Family PracticePA

Reviews

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Frequently asked questions

What is the registry number for MS. SRUTHI NELLURI (M.D)?
The registry entry for MS. SRUTHI NELLURI (M.D) shows NPI 1669965232.
Is MS. SRUTHI NELLURI (M.D) currently accepting referrals based on NPI status?
Registry metadata lists MS. SRUTHI NELLURI (M.D) as active.
What services align with MS. SRUTHI NELLURI (M.D)'s listing?
MS. SRUTHI NELLURI (M.D)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MS. SRUTHI NELLURI (M.D) in Philadelphia, Pennsylvania?
For routing, start with Philadelphia, Pennsylvania for MS. SRUTHI NELLURI (M.D), then verify phone and hours locally.
Can I export MS. SRUTHI NELLURI (M.D)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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