SIVARAMA K MEDURI MD – Pulmonary Disease Physician, NPI 1952590952

SIVARAMA K MEDURI MD is a healthcare provider. based in Dalton, Georgia. specializing in Pulmonary Disease Physician. The organization holds a License No. 020055 (GA). The NPI Number for SIVARAMA K MEDURI MD is 1952590952

Main info

Organization
Name
SIVARAMA K MEDURI MD
NPI
1952590952
Phone
(706) 226-1300
Address
1020 CHATTANOOGA AVE STE AB
Authorized Official
DR. SIVARAMA KRISHNA MEDURI MD/OWNER MD
Enumeration Date
16 October 2007
Last Update Date
17 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for SIVARAMA K MEDURI MD

  • Chattanooga Avenue, Dalton, Whitfield County, Georgia, 30720, United States

    DALTON, GA 307208880

    Phone: (706) 226-1300

    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)

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: 2004-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-04-30 (769 days ago).

Enrollment records

1

Earliest due date

2024-04-30

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
O20040426001620OClinic/Group PracticeGA2024-04-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 30720)

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Reviews

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Frequently asked questions

What is the standard ID for SIVARAMA K MEDURI MD in the U.S.?
In the U.S., SIVARAMA K MEDURI MD is identified by NPI 1952590952.
Does the public listing show SIVARAMA K MEDURI MD as active?
SIVARAMA K MEDURI MD's NPI record reflects an active status in NPPES.
How should patients interpret SIVARAMA K MEDURI MD's specialty?
The extract shows Pulmonary Disease Physician for SIVARAMA K MEDURI MD. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SIVARAMA K MEDURI MD?
SIVARAMA K MEDURI MD is associated with Dalton, Georgia in the same public data insurers reference.
Who maintains SIVARAMA K MEDURI MD's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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