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

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: August 02, 2026.

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

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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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

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.

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 4

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

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Knox County Hospital

Critical Access Hospitals · Barbourville, KY
OwnershipGovernment - Local
CMS Certification Number181328
Location80 Hospital DriveBarbourville, KY 40906 · Knox 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

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.

Is Sandeep Kumar Valluri affiliated with any hospitals?

According to CMS data, Sandeep Kumar Valluri is affiliated with Saint Joseph London, Middlesboro Arh Hospital, Baptist Health Corbin and Knox 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 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.