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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SRINIVAS PAVULURI M.D.
NPI 1255360020
Psychiatry & Neurology - Neurology in Hazlet, NJ

Active since July 02, 2006PECOS Enrolled
75/100
CMS Quality Rating
1 BETHANY RD STE 91, HAZLET, NJ 07730(732) 264-4300(732) 264-1102 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Srinivas Pavuluri M.d. NPPES

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

SRINIVAS PAVULURI M.D. (NPI 1255360020) is an individual neurology provider in Hazlet, New Jersey, licensed in New Jersey (25MA07341500) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1255360020
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSRINIVAS PAVULURICredential: M.D.
Location Address1 BETHANY RD STE 91Hazlet, NJ 07730-1669
Mailing AddressPo Box 71Holmdel, NJ 07733-0071 · (732) 264-4300 · Fax (732) 264-1102
Phone(732) 264-4300
Fax(732) 264-1102
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 2, 2006
Last NPPES UpdateSeptember 25, 2026
NPPES CertifiedSeptember 25, 2026
✔ NPI 1255360020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · 25MA07341500
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1 BETHANY RD STE 91, Hazlet, NJ 07730
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Other Identifiers 1

Medicaid1267345NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Srinivas 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 ID244127066
PECOS Enrollment IDI20040304000347
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
457 services236 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
108 services108 patients
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.
62 services53 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07730 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
80%506 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
45%298 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%342 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.

Other Providers at the Same Location NPPES

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

SRINIVAS PAVULURI, MD, PA
Psychiatry & Neurology (Neurology)
1 BETHANY RD STE 91
HAZLET, NJ 07730
Monmouth County (732) 264-4300

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 Srinivas Pavuluri's NPI number?

The NPI number for Srinivas Pavuluri is 1255360020. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Srinivas Pavuluri located?

Srinivas Pavuluri practices at 1 Bethany Rd Ste 91, Hazlet, NJ 07730. The listed phone number is (732) 264-4300.

What is Srinivas Pavuluri's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Srinivas Pavuluri enrolled in Medicare?

Yes. Srinivas 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.

What insurance does Srinivas Pavuluri accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Srinivas Pavuluri 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 Srinivas Pavuluri affiliated with any hospitals?

According to CMS data, Srinivas Pavuluri is affiliated with Riverview Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Srinivas Pavuluri was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.