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MRS. SUDHA R KOLLI MD
NPI 1174623508
Internal Medicine - Geriatric Medicine in New Brunswick, NJ

Active since September 25, 2006PECOS Enrolled
262 LIVINGSTON AVE, NEW BRUNSWICK, NJ 08901(732) 249-2044(732) 790-2626 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2017, Feb 9, 2017 (2 updates tracked since 2017).

About Mrs. Sudha R Kolli Md NPPES

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

MRS. SUDHA R KOLLI MD (NPI 1174623508) is an individual geriatric medicine provider in New Brunswick, New Jersey, licensed in New Jersey (MA69513) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174623508
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameMRS. SUDHA R KOLLICredential: MD
Location Address262 LIVINGSTON AVENew Brunswick, NJ 08901-3058
Mailing Address262 Livingston AveNew Brunswick, NJ 08901-3058 · (732) 249-2044 · Fax (732) 790-2626
Phone(732) 249-2044
Fax(732) 790-2626
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMarch 13, 20172 updates tracked since enumeration
✔ NPI 1174623508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in NJ · MA69513
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA06951300 (NJ)
262 LIVINGSTON AVE, New Brunswick, NJ 08901
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Other Identifiers 3

Medicare PIN036601NJ
Medicaid8181705NJ
Medicare UPINM12523

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sudha R Kolli Md 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 Reassignment

Medicare enrollment records show Sudha Kolli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Robert Wood Johnson Physician Enterprise
5.4 mi
Family Medicine
3 EXECUTIVE DRIVE, SUITE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 172 clinicians in this Medicare group
NPI 1245587922 (732) 369-5994

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 08901 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
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.

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 Sudha Kolli's NPI number?

The NPI number for Sudha Kolli is 1174623508. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Sudha Kolli located?

Sudha Kolli practices at 262 Livingston Ave, New Brunswick, NJ 08901. The listed phone number is (732) 249-2044.

What is Sudha Kolli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Sudha Kolli enrolled in Medicare?

Yes. Sudha Kolli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sudha Kolli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudha Kolli reassigns Medicare benefits to Robert Wood Johnson Physician Enterprise (Somerset, NJ). The 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 Sudha Kolli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sudha Kolli was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.