DR. SREEDHAR SAMUDRALA (M.D) – Family Medicine Physician, NPI 1083689566

DR. SREEDHAR SAMUDRALA (M.D) is a healthcare provider. based in Brentwood, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials M.D. They hold a License No. 36148 (TN). The NPI Number for DR. SREEDHAR SAMUDRALA (M.D) is 1083689566

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. SREEDHAR SAMUDRALA (M.D)
NPI
1083689566
Phone
(615) 373-2000
Address
1195 OLD HICKORY BLVD
Enumeration Date
20 February 2006
Last Update Date
26 December 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6152237227
Graduation Year
1997 (29 years ago)
PAC ID
9537145339
Group Practice PAC ID
6305821877
Professional Enrollment ID
I20040726001305
Address ID
TN371676827SM515XXPKWY301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

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Provider Addresses for DR. SREEDHAR SAMUDRALA (M.D)

  • Four Points by Sheraton Nashville - Brentwood, 760, Old Hickory Boulevard, Benbar, Brentwood, Davidson County, Middle Tennessee, Tennessee, 37027, United States

    SUITE 103

    BRENTWOOD, TN 370274239

    Phone: (615) 373-2000

    Fax: (615) 523-2900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $2,313.

Total Amount is formed as General ($2,313) + Research ($0) + Ownership ($0) = $2,313.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: PFIZER INC. ($1,317).

Total Amount

$2,313

General + Research + Ownership

Payments

51

Total payment records

General Amount

$2,313

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-07-26

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
I20040726001305IFamily PracticeTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15079$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes10666$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4343$0
99497Advance care planning, first 30 minutes4141$0
99213Established patient office or other outpatient visit, 20-29 minutes2623$0
View full utilization report →

Insurance plans in this area (ZIP 37027)

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Provider's Procedures

DR. SREEDHAR SAMUDRALA (M.D) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETN81002Urinalysis, manual test2521

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: 6305821877View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerTN
Family PracticeTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
Physician AssistantTN
Nurse PractitionerTN
Family PracticeTN

Reviews

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Frequently asked questions

Where can patients find DR. SREEDHAR SAMUDRALA (M.D)'s NPI?
You can confirm DR. SREEDHAR SAMUDRALA (M.D) with NPI 1083689566; it appears in the national provider directory.
Is DR. SREEDHAR SAMUDRALA (M.D) currently active in the NPI registry?
CMS-published data lists DR. SREEDHAR SAMUDRALA (M.D) as an active registrant.
What does DR. SREEDHAR SAMUDRALA (M.D) treat or focus on?
Patients typically see DR. SREEDHAR SAMUDRALA (M.D) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. SREEDHAR SAMUDRALA (M.D)?
We surface Brentwood, Tennessee for DR. SREEDHAR SAMUDRALA (M.D) based on available NPPES addresses.
How can I contact DR. SREEDHAR SAMUDRALA (M.D)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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