ELIZABETH MATHEW PULLUKALA
NPI 1174305742
Hospitalist in Jacksonville, FL

Active since October 18, 2023PECOS EnrolledAccepts Medicare Assignment
2098 KNOTTINGHAM TRACE LN, JACKSONVILLE, FL 32246(904) 525-3684 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 16, 2026, Oct 18, 2023 (2 updates tracked since 2023).

About Elizabeth Mathew Pullukala NPPES

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

ELIZABETH MATHEW PULLUKALA (NPI 1174305742) is an individual hospitalist provider in Jacksonville, Florida, licensed in Florida (APRN11025870) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174305742
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameELIZABETH MATHEW PULLUKALA
Location Address2098 KNOTTINGHAM TRACE LNJacksonville, FL 32246-1396
Mailing Address2098 Knottingham Trace LnJacksonville, FL 32246-1396 · (904) 525-3684
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 18, 2023
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
NPI 1174305742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · APRN11025870
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11025870 (FL)
2098 KNOTTINGHAM TRACE LN, Jacksonville, FL 32246

Accepted Insurance

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

Elizabeth Mathew Pullukala 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 ID4082158613
PECOS Enrollment IDI20240706000328
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.

Hospital Affiliations CMS Care Compare

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

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32246 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Elizabeth Pullukala's NPI number?

The NPI number for Elizabeth Pullukala is 1174305742. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Where is Elizabeth Pullukala located?

Elizabeth Pullukala practices at 2098 Knottingham Trace Ln, Jacksonville, FL 32246. The listed phone number is (904) 525-3684.

What is Elizabeth Pullukala's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Elizabeth Pullukala enrolled in Medicare?

Yes. Elizabeth Pullukala 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.

What insurance does Elizabeth Pullukala accept?

Health plans from UnitedHealthcare list Elizabeth Pullukala 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.

Is Elizabeth Pullukala affiliated with any hospitals?

According to CMS data, Elizabeth Pullukala is affiliated with Hca Florida Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Pullukala was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.