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

Q: 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.

Q: What is Madhuri Ponnaluri's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

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Medicare Participation & PECOS CMS

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

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.

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.

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.