DR. SRUTI KALLA MD
NPI 1194413906
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Sruti Kalla's NPI number?

The NPI number for Sruti Kalla is 1194413906. It was assigned to this individual provider in the NPPES registry on April 28, 2023.

Q: What is Sruti Kalla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sruti Kalla was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 28, 2023PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1000 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 3, 2026, Apr 8, 2026 (2 updates tracked since 2026).

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About Dr. Sruti Kalla Md NPPES

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

DR. SRUTI KALLA MD (NPI 1194413906) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1194413906

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. SRUTI KALLACredential: MD

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address400 E Earll Dr Unit 628Phoenix, AZ 85012-0034 · (650) 278-3450

Phone(602) 933-1000

Sole ProprietorNo

Enumeration DateApril 28, 2023

Last NPPES UpdateJune 3, 20262 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1194413906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1919 E THOMAS RD, Phoenix, AZ 85016

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Secondary Practice Location 1

Location 11305 W 18th StSioux Falls, SD 57105-0401 · Phone (605) 312-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sruti Kalla 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.

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.

DR. TIMUR RAGHIB M.D.

Hospitalist