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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SRUTI UPPULURI
NPI 1164050670
Pediatrics - Neonatal-Perinatal Medicine in Park Ridge, IL

Active since March 30, 2020PECOS Enrolled
1675 DEMPSTER ST STE 330, PARK RIDGE, IL 60068(847) 318-9300 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2020, Mar 30, 2020 (2 updates tracked since 2020).

About Sruti Uppuluri NPPES

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

SRUTI UPPULURI (NPI 1164050670) is an individual neonatal-perinatal medicine provider in Park Ridge, Illinois, licensed in Illinois (036164298) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Crown Point.

NPPES Registry Identity

NPI1164050670
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameSRUTI UPPULURI
Location Address1675 DEMPSTER ST STE 330Park Ridge, IL 60068-1110
Mailing Address1675 Dempster StPark Ridge, IL 60068-1110 · (847) 318-9300
Phone(847) 318-9300
Sole ProprietorNo
Enumeration DateMarch 30, 2020
Last NPPES UpdateJune 25, 20262 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1164050670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in IL · 036164298✔ Licensed in IN · 01100090A
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 125.077175 (IL), 01100090A (IN)
1675 DEMPSTER ST STE 330, Park Ridge, IL 60068
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Secondary Practice Location 1

Location 112750 Saint Francis DrCrown Point, IN 46307-0264 · Phone (219) 852-1524 · Fax (219) 933-2288

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sruti Uppuluri 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.

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 Sruti Uppuluri's NPI number?

The NPI number for Sruti Uppuluri is 1164050670. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Sruti Uppuluri located?

Sruti Uppuluri practices at 1675 Dempster St Ste 330, Park Ridge, IL 60068. The listed phone number is (847) 318-9300.

What is Sruti Uppuluri's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Sruti Uppuluri enrolled in Medicare?

Yes. Sruti Uppuluri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sruti Uppuluri was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.