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RAVI PULUSU
NPI 1205683059
Student in an Organized Health Care Education/Training Program in Smyrna, GA

Active since April 30, 2024PECOS Enrolled
582 CONCORD RD SE, SMYRNA, GA 30082(470) 956-4000 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ravi Pulusu NPPES

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

RAVI PULUSU (NPI 1205683059) is an individual student in an organized health care education/training program in Smyrna, Georgia and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205683059
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRAVI PULUSU
Location Address582 CONCORD RD SESmyrna, GA 30082-2616
Mailing Address582 Concord Rd SeSmyrna, GA 30082-2616
Phone(470) 956-4000
Sole ProprietorNo
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1205683059 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.
582 CONCORD RD SE, Smyrna, GA 30082
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ravi Pulusu 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 18

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

DAROINE TEKLEYES MD
Family Medicine
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (770) 384-9860
ALICIA SALAMANI MD
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (470) 956-4000
AYESHA ALI MD
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (470) 956-4000
JOSHUA JOSEPH FERTIG MD
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (470) 956-4000
TREI ASHLEE OBIORAH MD
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (470) 956-4000
CRISTINA J HUACA MD
Family Medicine
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (678) 469-2162
KELSIE RUSHLOW
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (470) 956-4000
DR. GUILHERME DE MORAIS MELO COSTA MD
Family Medicine
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (470) 956-4030

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 Ravi Pulusu's NPI number?

The NPI number for Ravi Pulusu is 1205683059. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Ravi Pulusu located?

Ravi Pulusu practices at 582 Concord Rd SE, Smyrna, GA 30082. The listed phone number is (470) 956-4000.

What is Ravi Pulusu's specialty?

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

Is Ravi Pulusu enrolled in Medicare?

Yes. Ravi Pulusu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ravi Pulusu was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.