KINNERA SAHITHI URLAPU MD
NPI 1255819496
Internal Medicine - Pulmonary Disease in Gainesville, GA

Active since July 31, 2018PECOS EnrolledAccepts Medicare Assignment
1439 JESSE JEWELL PKWY NE STE 201, GAINESVILLE, GA 30501(770) 219-9673 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2024, Jul 16, 2024, Aug 12, 2021 and 1 more (4 updates tracked since 2018).

About Kinnera Sahithi Urlapu Md NPPES

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

KINNERA SAHITHI URLAPU MD (NPI 1255819496) is an individual pulmonary disease provider in Gainesville, Georgia, licensed in Georgia (100567) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1255819496
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameKINNERA SAHITHI URLAPUCredential: MD
Location Address1439 JESSE JEWELL PKWY NE STE 201Gainesville, GA 30501-3806
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 31, 2018
Last NPPES UpdateOctober 11, 20244 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
NPI 1255819496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in GA · 100567
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 MedicineTaxonomy 207R00000X · License 311897 (NY)
Also ListedHospitalistTaxonomy 208M00000X · License 311897 (NY)
1439 JESSE JEWELL PKWY NE STE 201, Gainesville, GA 30501

Secondary Practice Locations 5

Location 11425 Portland AveRochester, NY 14621-3095 · Phone (585) 922-5067 · Fax (585) 922-2908
Location 21555 Long Pond RdRochester, NY 14626-4122 · Phone (585) 723-7870 · Fax (585) 723-7871
Location 31200 Driving Park AveNewark, NY 14513-1090 · Phone (315) 359-2123 · Fax (315) 359-2167
Location 42 Coulter RdClifton Springs, NY 14432-1122 · Phone (315) 462-1472 · Fax (315) 462-2639
Location 5127 North StBatavia, NY 14020-1631 · Phone (585) 343-6030 · Fax (585) 344-7434

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

Kinnera Sahithi Urlapu 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 ID2860897824
PECOS Enrollment IDI20240731000265
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 5

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.

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.
42 services42 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.
25 services21 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.
25 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services18 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 11

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

Family Medicine
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Anesthesiology (Hospice and Palliative Medicine)
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Nurse Practitioner (Acute Care)
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Internal Medicine (Pulmonary Disease)
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Pharmacist
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Internal Medicine (Pulmonary Disease)
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Nurse Practitioner (Acute Care)
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Nurse Practitioner (Acute Care)
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501

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 Kinnera Sahithi Urlapu's NPI number?

The NPI number for Kinnera Sahithi Urlapu is 1255819496. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Where is Kinnera Sahithi Urlapu located?

Kinnera Sahithi Urlapu practices at 1439 Jesse Jewell Pkwy NE Ste 201, Gainesville, GA 30501. The listed phone number is (770) 219-9673.

What is Kinnera Sahithi Urlapu's specialty?

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

Is Kinnera Sahithi Urlapu enrolled in Medicare?

Yes. Kinnera Sahithi Urlapu 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 Kinnera Sahithi Urlapu accept?

Health plans from Alliant Health Plans, Inc. list Kinnera Sahithi Urlapu 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 Kinnera Sahithi Urlapu affiliated with any hospitals?

According to CMS data, Kinnera Sahithi Urlapu is affiliated with Northeast Georgia Medical Center, Inc and Northeast Georgia Medical Center Habersham.

When was this NPI record last updated?

The NPPES record for Kinnera Sahithi Urlapu was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.