SURYA SRIVIDYA PETLA MD
NPI 1184074601
Hospitalist in Omaha, NE
About Surya Srividya Petla Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SURYA SRIVIDYA PETLA MD (NPI 1184074601) is an individual hospitalist provider in Omaha, Nebraska, licensed in Nebraska (CP1898) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 3
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
Surya Srividya Petla Md 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
2Medicare enrollment records show Surya Srividya Petla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Omaha, NE 68124
- Reassigned Medicare billing, Nebraska and Iowa enrollments
- Also billed through NPI 1518227859 (Iowa)
- 1,045 clinicians in this Medicare group
Mannington, WV 26582
- Reassigned Medicare billing, West Virginia enrollment
- 318 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi Health Bergan Mercy
Acute Care Hospitals · Omaha, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
OMAHA, NE 68124
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 Surya Srividya Petla's NPI number?
The NPI number for Surya Srividya Petla is 1184074601. It was assigned to this individual provider in the NPPES registry on June 15, 2016.
Where is Surya Srividya Petla located?
Surya Srividya Petla practices at 7500 Mercy Rd, Omaha, NE 68124. The listed phone number is (855) 524-4001.
What is Surya Srividya Petla's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Surya Srividya Petla enrolled in Medicare?
Yes. Surya Srividya Petla 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 Surya Srividya Petla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Surya Srividya Petla reassigns Medicare benefits to 2 organizations: Alegent Creighton Clinic (Omaha, NE) and Monongalia County General Hospital Company (Mannington, WV). 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 Surya Srividya Petla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Surya Srividya Petla accept?
Health plans from Blue Cross and Blue Shield of Nebraska, CareSource, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Surya Srividya Petla 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 Surya Srividya Petla affiliated with any hospitals?
According to CMS data, Surya Srividya Petla is affiliated with Chi Health Bergan Mercy.
When was this NPI record last updated?
The NPPES record for Surya Srividya Petla was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Surya Srividya Petla, MD · NPI 1184074601
Hospitalist physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since June 15, 2016.
## Identity
- **NPI:** 1184074601 (Entity type: Individual)
- **Enumerated:** June 15, 2016
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** CP1898 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 7500 MERCY RD, Omaha, NE 68124-2319
- **Phone:** (855) 524-4001 · **Fax:** (402) 398-5589
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Alegent Creighton Clinic (NPI 1548287907, Omaha, NE); Monongalia County General Hospital Company (NPI 1750785366, Mannington, WV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184074601) · Data from the CMS NPPES public registry.