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PUSHPA PAVULURI M.D.
NPI 1194771204
Internal Medicine in Louisville, KY

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
4917 DIXIE HWY STE E, LOUISVILLE, KY 40216(502) 414-5043(877) 243-0175 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2019, Nov 19, 2018 (2 updates tracked since 2018).

About Pushpa Pavuluri M.d. NPPES

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

PUSHPA PAVULURI M.D. (NPI 1194771204) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (36739) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1194771204
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePUSHPA PAVULURICredential: M.D.
Location Address4917 DIXIE HWY STE ELouisville, KY 40216-2565
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168
Phone(502) 414-5043
Fax(877) 243-0175
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 26, 2006
Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1194771204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 36739
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4917 DIXIE HWY STE E, Louisville, KY 40216
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Secondary Practice Locations 3

Location 11802 E 10th StJeffersonville, IN 47130-6016 · Phone (812) 288-2488 · Fax (770) 573-9513
Location 2815 Short StCharlestown, IN 47111-1241 · Phone (812) 503-5100 · Fax (770) 573-9513
Location 31804 E 10th StJeffersonville, IN 47130-6016 · Phone (812) 288-2488 · Fax (770) 573-9513

Other Identifiers 2

OtherP00307134KY · Rr Medicare
Medicaid64101884KY

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

Pushpa Pavuluri M.d. 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 ID3577506914
PECOS Enrollment IDI20050607000045
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40216 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CYNTHIA COX MAHIN M.D.
Family Medicine
4917 DIXIE HWY STE E
LOUISVILLE, KY 40216
Jefferson County (502) 414-5043
CENTERWELL SENIOR PRIMARY CARE (KY) PSC
Internal Medicine
4917 DIXIE HWY STE E
LOUISVILLE, KY 40216
Jefferson County (407) 447-7120
SHELBY R ROMINE APRN
Nurse Practitioner (Family)
4917 DIXIE HWY STE E
LOUISVILLE, KY 40216
Jefferson County (502) 242-7559

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 Pushpa Pavuluri's NPI number?

The NPI number for Pushpa Pavuluri is 1194771204. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Pushpa Pavuluri located?

Pushpa Pavuluri practices at 4917 Dixie Hwy Ste E, Louisville, KY 40216. The listed phone number is (502) 414-5043.

What is Pushpa Pavuluri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pushpa Pavuluri enrolled in Medicare?

Yes. Pushpa Pavuluri 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.

When was this NPI record last updated?

The NPPES record for Pushpa Pavuluri was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.