SHRUTHI EDUNURI MD
NPI 1073769113
Student in an Organized Health Care Education/Training Program in Marquette, MI

Active since August 08, 2008PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
1414 W FAIR AVE, SUITE 36, MARQUETTE, MI 49855(906) 225-3864(906) 225-3851 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shruthi Edunuri Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHRUTHI EDUNURI MD (NPI 1073769113) is an individual student in an organized health care education/training program in Marquette, Michigan and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1073769113
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHRUTHI EDUNURICredential: MD
Location Address1414 W FAIR AVE, SUITE 36Marquette, MI 49855-2675
Mailing Address4602 DeptCarol Stream, IL 60122-0021 · (906) 225-4821 · Fax (906) 225-4537
Fax(906) 225-3851
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 8, 2008
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 15, 2020
NPI 1073769113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1414 W FAIR AVE, Marquette, MI 49855

Other Identifiers 2

Medicaid1841458106MI
OtherKE092409MI · Bcbs Of Michigan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shruthi Edunuri Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698945996
PECOS Enrollment IDI20130801000171
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
373 services182 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
115 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
100 services78 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
97 services97 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
43 services40 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
43 services42 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers33 claims72 services$5.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims13 services$0.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1414 W FAIR AVE
MARQUETTE, MI 49855
Physician Assistant
1414 W FAIR AVE, STE 332
MARQUETTE, MI 49855
Pharmacy (Community/Retail Pharmacy)
1414 W FAIR AVE, SUITE 133
MARQUETTE, MI 49855
Allergy & Immunology
1414 W FAIR AVE, SUITE 216
MARQUETTE, MI 49855
Plastic Surgery (Surgery of the Hand)
1414 W FAIR AVE, SUITE 190
MARQUETTE, MI 49855
Student in an Organized Health Care Education/Training Program
1414 W FAIR AVE, SUITE 24
MARQUETTE, MI 49855
Nurse Practitioner (Primary Care)
1414 W FAIR AVE, STE 344
MARQUETTE, MI 49855
Physical Medicine & Rehabilitation
1414 W FAIR AVE, SUITE 204
MARQUETTE, MI 49855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shruthi Edunuri's NPI number?

The NPI number for Shruthi Edunuri is 1073769113. It was assigned to this individual provider in the NPPES registry on August 8, 2008.

Where is Shruthi Edunuri located?

Shruthi Edunuri practices at 1414 W Fair Ave Suite 36, Marquette, MI 49855. The listed phone number is (906) 225-3864.

What is Shruthi Edunuri's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shruthi Edunuri enrolled in Medicare?

Yes. Shruthi Edunuri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shruthi Edunuri affiliated with any hospitals?

According to CMS data, Shruthi Edunuri is affiliated with Inova Fairfax Hospital and Inova Fair Oaks Hospital.

When was this NPI record last updated?

The NPPES record for Shruthi Edunuri was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.