ELIZABETH MATHEW PULLUKALA
NPI 1174305742
Hospitalist in Jacksonville, FL
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Elizabeth Pullukala reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32224
- Reassigned Medicare billing, Florida enrollment
- 34 clinicians in this Medicare group
Jacksonville, FL 32211
- Reassigned Medicare billing, Florida enrollment
- 41 clinicians in this Medicare group
Jacksonville, FL 32217
- Reassigned Medicare billing, Florida enrollment
- 2 clinicians in this Medicare group
Orange Park, FL 32073
- Reassigned Medicare billing, Florida enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, FLPhysician 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.
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.
Which organizations bill Medicare for Elizabeth Pullukala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Pullukala reassigns Medicare benefits to 4 organizations: Vip Specialties Of Florida (Jacksonville, FL), First Coast Surgical Associates Inc (Jacksonville, FL), San Jose Clinic, P.A. (Jacksonville, FL) and R K Vishen MD P A (Orange Park, FL). 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 Elizabeth Pullukala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Elizabeth Mathew Pullukala · NPI 1174305742
Hospitalist physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since October 18, 2023.
## Identity
- **NPI:** 1174305742 (Entity type: Individual)
- **Enumerated:** October 18, 2023
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** APRN11025870 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2098 KNOTTINGHAM TRACE LN, Jacksonville, FL 32246-1396
- **Phone:** (904) 525-3684
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Vip Specialties Of Florida (NPI 1790499812, Jacksonville, FL); First Coast Surgical Associates Inc (NPI 1548249543, Jacksonville, FL); San Jose Clinic, P.A. (NPI 1083846349, Jacksonville, FL); R K Vishen MD P A (NPI 1912011511, Orange Park, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174305742) · Data from the CMS NPPES public registry.