DR. SRIKANTH DAVULURI MD
NPI 1205034998
Internal Medicine - Pulmonary Disease in Pleasant Prairie, WI

Active since July 05, 2007PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
9555 76TH ST, PLEASANT PRAIRIE, WI 53158(262) 577-8300(262) 577-8414 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2022, Dec 10, 2021, Aug 5, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Srikanth Davuluri Md NPPES

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

DR. SRIKANTH DAVULURI MD (NPI 1205034998) is an individual pulmonary disease provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (3386) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (2001).

NPPES Registry Identity

NPI1205034998
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SRIKANTH DAVULURICredential: MD
Location Address9555 76TH STPleasant Prairie, WI 53158-1984
Mailing AddressFroedtert Pleasant Prairie Hospital, 9555 76th StreetPleasant Prairie, WI 53158 · (262) 577-8300 · Fax (262) 577-8414
Fax(262) 577-8414
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 5, 2007
Last NPPES UpdateJanuary 29, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
NPI 1205034998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in WI · 3386
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 3386 (WI)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 3386 (WI)
9555 76TH ST, Pleasant Prairie, WI 53158

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

Dr. Srikanth Davuluri 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 ID244493658
PECOS Enrollment IDI20230920002028
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 20

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
212 services96 patients
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.
184 services90 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.
183 services90 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 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.
48 services30 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
40 services40 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
13%47 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
40%389 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
84%241 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
31%93 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
39%93 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
90%1,111 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
21%319 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%624 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
45%508 patients3/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89%195 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 326 patients
Patients totalRate: 9% · 336 patients
9%336 patients4/55-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 26

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
10 suppliers177 claims178 services$31.59 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers18 claims35 services$1.25 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers183 claims184 services$71.91 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers173 claims484 services$27.79 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers60 claims343 services$14.60 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers31 claims181 services$12.83 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.

General Acute Care Hospital
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Family Medicine
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Dietitian, Registered
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Radiology (Vascular & Interventional Radiology)
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Internal Medicine
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Dietitian, Registered
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Hospitalist
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Dietitian, Registered
9555 76TH ST
PLEASANT PRAIRIE, WI 53158

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 Srikanth Davuluri's NPI number?

The NPI number for Srikanth Davuluri is 1205034998. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Srikanth Davuluri located?

Srikanth Davuluri practices at 9555 76th St, Pleasant Prairie, WI 53158. The listed phone number is (262) 577-8300.

What is Srikanth Davuluri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Srikanth Davuluri enrolled in Medicare?

Yes. Srikanth Davuluri 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 Srikanth Davuluri accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Network Health list Srikanth Davuluri 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 Srikanth Davuluri affiliated with any hospitals?

According to CMS data, Srikanth Davuluri is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Srikanth Davuluri was last updated on January 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.