SUSHMA PAVULURI DO
NPI 1306401211
Internal Medicine - Hematology & Oncology in Florence, SC
About Sushma Pavuluri Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSHMA PAVULURI DO (NPI 1306401211) is an individual hematology & oncology provider in Florence, South Carolina, licensed in South Carolina (90561) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sushma Pavuluri Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sushma Pavuluri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 clinicians in this Medicare group
Charleston, SC 29401
- Reassigned Medicare billing, South Carolina enrollment
- 281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Musc Medical Center
Acute Care Hospitals · Charleston, SCMusc Health Marion Medical Center
Acute Care Hospitals · Mullins, SCMusc Health Florence Medical Center
Acute Care Hospitals · Florence, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Sushma Pavuluri's NPI number?
The NPI number for Sushma Pavuluri is 1306401211. It was assigned to this individual provider in the NPPES registry on May 6, 2019.
Where is Sushma Pavuluri located?
Sushma Pavuluri practices at 805 Pamplico Hwy, Medical Pavillion A, Suite 315, Florence, SC 29505. The listed phone number is (843) 674-6460.
What is Sushma Pavuluri's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Sushma Pavuluri enrolled in Medicare?
Yes. Sushma 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.
Which organizations bill Medicare for Sushma Pavuluri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sushma Pavuluri reassigns Medicare benefits to 2 organizations: Musc Community Physicians (Bamberg, SC) and 24 On Physicians Of Sc, LLC (Charleston, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sushma Pavuluri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sushma Pavuluri accept?
Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Sushma 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 Sushma Pavuluri affiliated with any hospitals?
According to CMS data, Sushma Pavuluri is affiliated with Musc Medical Center, Musc Health Marion Medical Center and Musc Health Florence Medical Center.
When was this NPI record last updated?
The NPPES record for Sushma Pavuluri was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Sushma Pavuluri, DO · NPI 1306401211
Hematology & Oncology physician in Florence, South Carolina. Individual provider, active in the CMS NPPES registry since May 6, 2019.
## Identity
- **NPI:** 1306401211 (Entity type: Individual)
- **Enumerated:** May 6, 2019
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **State license:** 90561 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 805 PAMPLICO HWY, MEDICAL PAVILLION A, SUITE 315, Florence, SC 29505
- **Phone:** (843) 674-6460
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Musc Community Physicians (NPI 1841878006, Bamberg, SC); 24 On Physicians Of Sc, LLC (NPI 1144877655, Charleston, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lincoln Mem Univ, Debusk Col Of Osteopathic Med, class of 2019
## Record status
- **NPPES last updated:** September 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306401211) · Data from the CMS NPPES public registry.