PAVAN K IRUKULLA MD
NPI 1184860926
Internal Medicine - Critical Care Medicine in Scranton, PA

Active since December 29, 2008PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
1800 MULBERRY ST, SCRANTON, PA 18510(570) 969-8000(570) 969-7421 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pavan K Irukulla Md NPPES

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

PAVAN K IRUKULLA MD (NPI 1184860926) is an individual critical care medicine provider in Scranton, Pennsylvania, licensed in Texas (R1780) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1184860926
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NamePAVAN K IRUKULLACredential: MD
Location Address1800 MULBERRY STScranton, PA 18510-2369
Mailing Address404 Terrace MnrScranton, PA 18505-2383 · (570) 687-8786 · Fax (570) 969-7421
Fax(570) 969-7421
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 29, 2008
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1184860926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in TX · R1780
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD435885 (PA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License R1780 (TX)
1800 MULBERRY ST, Scranton, PA 18510

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

Pavan K Irukulla 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 ID7911062310
PECOS Enrollment IDI20170809001944, I20250103001662, I20250118000017, I20250118000022, I20250127000246, I20250130000009, I20250130000012, I20250312000815, I20250617001158
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 Reassignments

11

Medicare enrollment records show Pavan Irukulla reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1 HOSPITAL DR SW
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama, Arkansas, Florida, Georgia, Indiana, Kentucky, Maine, Missouri, Montana, North Carolina, New Mexico, New York, Ohio, Oklahoma, South Carolina, Texas and Virginia enrollments
  • Medicare enrollment name: Access Telecare PLLC
  • Also billed through NPI 1013303080 (Virginia)
  • 149 clinicians in this Medicare group
Anesthesiology
801 W GORDON ST
Thomaston, GA 30286
  • Reassigned Medicare billing, Texas enrollment
  • 30 clinicians in this Medicare group
Infusion Therapy
600 NE ADAMS DAIRY PKWY
Blue Springs, MO 64014
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Saint Lukes Physician Group Inc
  • 1,339 clinicians in this Medicare group
Critical Care Medicine
700 E MARSHALL AVE
Longview, TX 75601
  • Reassigned Medicare billing, Texas enrollment
  • 70 clinicians in this Medicare group
Internal Medicine
4500 MEDICAL CENTER DR
Mckinney, TX 75069
  • Reassigned Medicare billing, Texas enrollment
  • 90 clinicians in this Medicare group
Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
1,306 mi
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Kansas enrollment
  • 82 clinicians in this Medicare group
Pulmonary Disease
1650 W COLLEGE ST
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • 58 clinicians in this Medicare group
Pulmonary Disease
1200 CLEAR LAKE RD, STE 101
Weatherford, TX 76086
  • Reassigned Medicare billing, Texas enrollment
  • 7 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
254 services140 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.
135 services72 patients
Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508
A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.
38 services38 patients
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.
24 services15 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.
20 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18510 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%584 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers21 claims21 services$27.89 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$47.67 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers13 claims13 services$16.32 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers21 claims126 services$1.90 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers32 claims32 services$14.52 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers27 claims27 services$43.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Pulmonary Disease)
1800 MULBERRY ST
SCRANTON, PA 18510
Nurse Anesthetist, Certified Registered
1800 MULBERRY ST
SCRANTON, PA 18510
Registered Nurse (Medical-Surgical)
1800 MULBERRY ST
SCRANTON, PA 18510
Dietitian, Registered
1800 MULBERRY ST
SCRANTON, PA 18510
Internal Medicine (Rheumatology)
1800 MULBERRY ST
SCRANTON, PA 18510
Surgery
1800 MULBERRY ST
SCRANTON, PA 18510
Nurse Anesthetist, Certified Registered
1800 MULBERRY ST
SCRANTON, PA 18510
Nurse Practitioner
1800 MULBERRY ST
SCRANTON, PA 18510

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 Pavan Irukulla's NPI number?

The NPI number for Pavan Irukulla is 1184860926. It was assigned to this individual provider in the NPPES registry on December 29, 2008.

Where is Pavan Irukulla located?

Pavan Irukulla practices at 1800 Mulberry St, Scranton, PA 18510. The listed phone number is (570) 969-8000.

What is Pavan Irukulla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Pavan Irukulla enrolled in Medicare?

Yes. Pavan Irukulla 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 Pavan Irukulla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pavan Irukulla reassigns Medicare benefits to 11 organizations: Crestwood Healthcare LP (Huntsville, AL), Upson Medical Associates LLC (Thomaston, GA), Saint Luke's Physician Group Inc (Blue Springs, MO), Northeast Texas Intensivists, PLLC (Longview, TX), Questcare Intensivists PLLC (Mckinney, TX) and 6 more organizations, listed in the Medicare section above. 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 Pavan Irukulla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pavan Irukulla accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 other insurers list Pavan Irukulla 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 Pavan Irukulla affiliated with any hospitals?

According to CMS data, Pavan Irukulla is affiliated with Christus Good Shepherd Medical Center, Christus Mother Frances Hospital and Chi St Lukes Health Memorial Lufkin.

When was this NPI record last updated?

The NPPES record for Pavan Irukulla was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.