SANDEEP KUMAR VALLURI
NPI 1356916605
Internal Medicine in Atlantic City, NJ

Q: What is Sandeep Kumar Valluri's NPI number?

The NPI number for Sandeep Kumar Valluri is 1356916605. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Q: What is Sandeep Kumar Valluri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 20, 2021PECOS EnrolledAccepts Medicare Assignment

1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401(609) 464-2564 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2024, Jun 10, 2024, May 20, 2021 (3 updates tracked since 2021).

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About Sandeep Kumar Valluri NPPES

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

SANDEEP KUMAR VALLURI (NPI 1356916605) is an individual internal medicine provider in Atlantic City, New Jersey, licensed in Kentucky (58781) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356916605

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSANDEEP KUMAR VALLURI

Location Address1925 PACIFIC AVEAtlantic City, NJ 08401-6713

Mailing Address4829 Marsh Hammock Dr WJacksonville, FL 32224-1877 · (904) 660-4986

Phone(609) 464-2564

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 20, 2021

Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1356916605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 58781

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1925 PACIFIC AVE, Atlantic City, NJ 08401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Sandeep Kumar Valluri 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 ID7719424258

PECOS Enrollment IDI20240801004490

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.

Medicare Billing Reassignment

Medicare enrollment records show Sandeep Kumar Valluri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cogent Healthcare Of Kentucky, Psc

553 mi

Internal Medicine

1 SAINT JOSEPH DR
Lexington, KY 40504

Reassigned Medicare billing, Kentucky enrollment
236 clinicians in this Medicare group

NPI 1053362293 (859) 313-1000

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 2

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.

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.

76 services76 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

44 services44 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph London

Acute Care Hospitals · London, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180011

Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County

Emergency services Birthing friendly

Pineville Community Health Center, Inc

Acute Care Hospitals · Pineville, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number180154

Location850 Riverview AvenuePineville, KY 40977 · Bell County

Emergency services

Wayne County Hospital

Critical Access Hospitals · Monticello, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181321

Location166 Hospital StreetMonticello, KY 42633 · Wayne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08401 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.

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.

NEWAZ MOHAMMED HOSSAIN MD

Internal Medicine

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 441-8146

JITEN DESAI

Internal Medicine (Gastroenterology)

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 652-1000

EMAAN SALAM MD

Internal Medicine

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (188) 856-9100

CHERYL LYNN HEINZ

Peer Specialist

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 703-7422

MANISHA KHATIWALA MD

Emergency Medicine

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 345-4000

KELLY MARIE WILLMAN M.D.

Surgery (Trauma Surgery)

1925 PACIFIC AVE, TRAUMA DEPARTMENT
ATLANTIC CITY, NJ 08401

Atlantic County (609) 441-8023

MARIE FARNSWORTH

Emergency Medicine

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 345-4000

RAJESH I PATEL MD

Radiology (Diagnostic Radiology)

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 677-9729

MR. MATTHEW R SOOS APN

Nurse Practitioner (Acute Care)

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 572-8600

YESHA NITANG PATEL

Student in an Organized Health Care Education/Training Program

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 939-2603

DR. WAKILU A SHITTU MD

Psychiatry & Neurology (Psychiatry)

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 344-1118

DR. MARK DESANTIS DO

Hospitalist

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 345-4000

HASSAN IMTIAZ CHATTHA MD

Student in an Organized Health Care Education/Training Program

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 939-2603

ADAMA SHAW DO

Student in an Organized Health Care Education/Training Program

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 449-4378

JOANNA CRINCOLI DO

Internal Medicine (Critical Care Medicine)

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 449-4373

HASSAAN MAHMUD

Student in an Organized Health Care Education/Training Program

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 441-8074

JULIANA ALI

Nurse Practitioner (Psychiatric/Mental Health)

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 345-4000

ATLANTIC PATHOLOGISTS PC

Pathology (Anatomic Pathology & Clinical Pathology)

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 441-2147

ARIF HUSSAIN MD

Hospitalist

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 441-8146

NGUYEN VO MD

Pathology (Cytopathology)

1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Atlantic County (609) 441-8063

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 Sandeep Kumar Valluri's NPI number?

The NPI number for Sandeep Kumar Valluri is 1356916605. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Sandeep Kumar Valluri located?

Sandeep Kumar Valluri practices at 1925 Pacific Ave, Atlantic City, NJ 08401. The listed phone number is (609) 464-2564.

What is Sandeep Kumar Valluri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandeep Kumar Valluri enrolled in Medicare?

Yes. Sandeep Kumar Valluri 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 organization bills Medicare for Sandeep Kumar Valluri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Kumar Valluri reassigns Medicare benefits to Cogent Healthcare Of Kentucky, Psc (Lexington, KY). The 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 Sandeep Kumar Valluri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandeep Kumar Valluri accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Sandeep Kumar Valluri 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 Sandeep Kumar Valluri affiliated with any hospitals?

According to CMS data, Sandeep Kumar Valluri is affiliated with Saint Joseph London, Pineville Community Health Center, Inc and Wayne County Hospital.

When was this NPI record last updated?

The NPPES record for Sandeep Kumar Valluri was last updated on September 17, 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.