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MADHURI PONNALURI
NPI 1083387591
Nurse Practitioner - Pediatrics in Newark, NJ

Active since July 29, 2021PECOS Enrolled
741 BROADWAY, NEWARK, NJ 07104(973) 483-1300(973) 676-1396 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 13, 2021, Jul 29, 2021 (2 updates tracked since 2021).

About Madhuri Ponnaluri NPPES

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

MADHURI PONNALURI (NPI 1083387591) is an individual pediatrics provider in Newark, New Jersey, licensed in New Jersey (26NJ01197700) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083387591
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMADHURI PONNALURI
Location Address741 BROADWAYNewark, NJ 07104-4309
Mailing Address741 BroadwayNewark, NJ 07104-4309 · (973) 483-1300 · Fax (973) 676-1396
Phone(973) 483-1300
Fax(973) 676-1396
Sole ProprietorNo
Enumeration DateJuly 29, 2021
Last NPPES UpdateMarch 14, 20242 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
✔ NPI 1083387591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NJ · 26NJ01197700
741 BROADWAY, Newark, NJ 07104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madhuri Ponnaluri is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Madhuri Ponnaluri reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Newark Community Health Centers, Inc.
Same address
Federally Qualified Health Center (FQHC)
741 BROADWAY
Newark, NJ 07104
  • Reassigned Medicare billing, New Jersey enrollment
  • 172 clinicians in this Medicare group
NPI 1740345693 (973) 483-1300
Rwjbh Primary Care Services
7.5 mi
Internal Medicine
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 428 clinicians in this Medicare group
NPI 1265037501 (973) 322-5000
Barnabas Health Medical Group PC
8.5 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Emergency Physician Associates Of North Jersey P C
11 mi
Emergency Medicine
99 BEAUVOIR AVE
Summit, NJ 07901
  • Reassigned Medicare billing, New Jersey enrollment
  • 436 clinicians in this Medicare group
NPI 1497783419 (908) 522-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. XIAONING JOANIE ZHU MD
Internal Medicine
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 481-1300
MS. JORANE BONHEUR APN
Nurse Practitioner (Adult Health)
741 BROADWAY
NEWARK, NJ 07104
Essex County (800) 994-6242
PAULINE A WALKS-AKINTOBI MD
Pediatrics (Adolescent Medicine)
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300
DR. GANIYAT TOLANI KAREEM DNP
Nurse Practitioner (Family)
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300
SHIRLEY MCDUFFIE CNM
Advanced Practice Midwife
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300
LUIS ALZATE-DUQUE M.D.
Internal Medicine
741 BROADWAY
NEWARK, NJ 07104
Essex County (201) 675-1900
NATALIE JOSEPH
Nurse Practitioner (Women's Health)
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300
NATALIE ANN SOUS MD
Internal Medicine
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300

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 Madhuri Ponnaluri's NPI number?

The NPI number for Madhuri Ponnaluri is 1083387591. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Madhuri Ponnaluri located?

Madhuri Ponnaluri practices at 741 Broadway, Newark, NJ 07104. The listed phone number is (973) 483-1300.

What is Madhuri Ponnaluri's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Madhuri Ponnaluri enrolled in Medicare?

Yes. Madhuri Ponnaluri is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Madhuri Ponnaluri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhuri Ponnaluri reassigns Medicare benefits to 4 organizations: Newark Community Health Centers, Inc. (Newark, NJ), Rwjbh Primary Care Services (West Orange, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Emergency Physician Associates Of North Jersey P C (Summit, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madhuri Ponnaluri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madhuri Ponnaluri accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Madhuri Ponnaluri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madhuri Ponnaluri was last updated on March 14, 2024. 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.