SURYA SRIVIDYA PETLA MD
NPI 1184074601
Hospitalist in Omaha, NE

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
7500 MERCY RD, OMAHA, NE 68124(855) 524-4001(402) 398-5589 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2026, Sep 14, 2022, Aug 24, 2022 and 1 more (4 updates tracked since 2016).

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 Mon Health Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1184074601
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSURYA SRIVIDYA PETLACredential: MD
Location Address7500 MERCY RDOmaha, NE 68124-2319
Mailing Address7500 Mercy RdOmaha, NE 68124-2319 · (855) 524-4001 · Fax (402) 398-5589
Fax(402) 398-5589
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 15, 2016
Last NPPES UpdateJanuary 20, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
NPI 1184074601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in NE · CP1898 Licensed in IA · MD-56311
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 ListedInternal MedicineTaxonomy 207R00000X · License 31173 (WV)
Also ListedPediatricsTaxonomy 208000000X · License 31173 (WV)
7500 MERCY RD, Omaha, NE 68124

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

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.

PECOS PAC ID2466748132
PECOS Enrollment IDI20220907000023, I20260123002921, I20260127001302
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
433 services174 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
157 services150 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
83 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Physician 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.

New Patient
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Clinical Cardiac Electrophysiology)
7500 MERCY RD
OMAHA, NE 68124
Radiology (Diagnostic Radiology)
7500 MERCY RD
OMAHA, NE 68124
Nurse Practitioner (Neonatal, Critical Care)
7500 MERCY RD
OMAHA, NE 68124
Nurse Practitioner
7500 MERCY RD
OMAHA, NE 68124
Nurse Anesthetist, Certified Registered
7500 MERCY RD
OMAHA, NE 68124
Anesthesiology
7500 MERCY RD
OMAHA, NE 68124
Hospitalist
7500 MERCY RD, CU DEPARTMENT OF FAMILY MEDICINE
OMAHA, NE 68124
Nurse Practitioner (Neonatal, Critical Care)
7500 MERCY RD
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.

What insurance does Surya Srividya Petla accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia 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 Mon Health Medical Center.

When was this NPI record last updated?

The NPPES record for Surya Srividya Petla was last updated on January 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.