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LALITHA SRI PAPINENI M.D.
NPI 1467748988
Internal Medicine in Smithfield, NC

Active since June 22, 2011PECOS EnrolledAccepts Medicare Assignment
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577(919) 938-7189 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2021, Dec 19, 2019 (2 updates tracked since 2019).

About Lalitha Sri Papineni M.d. NPPES

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

LALITHA SRI PAPINENI M.D. (NPI 1467748988) is an individual internal medicine provider in Smithfield, North Carolina, licensed in North Carolina (2014-01842) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Johnston Health, and maintains a secondary practice location in Long Branch.

NPPES Registry Identity

NPI1467748988
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLALITHA SRI PAPINENICredential: M.D.
Location Address509 N BRIGHTLEAF BLVDSmithfield, NC 27577-4407
Mailing Address509 N Brightleaf BlvdSmithfield, NC 27577-4407 · (919) 938-7189
Phone(919) 938-7189
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 22, 2011
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1467748988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2014-01842
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.
Also ListedHospitalistTaxonomy 208M00000X · License 2014-01842 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
509 N BRIGHTLEAF BLVD, Smithfield, NC 27577
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Secondary Practice Location 1

Location 1300 2nd Ave, Monmouth Medical CenterLong Branch, NJ 07740-6303 · Phone (732) 923-6537 · Fax (732) 923-6536

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Lalitha Sri Papineni 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 ID6204159239
PECOS Enrollment IDI20141226000315
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
227 services113 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.
151 services79 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
104 services102 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.
44 services43 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27577 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers12 claims12 services$13.62 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$3.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers43 claims43 services$71.60 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$31.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

FRANKLIN REGIONAL EMERGENCY PHYSICIANS, PLLC
Emergency Medicine
509 N BRIGHTLEAF BLVD, EMERGENCY DEPARTMENT
SMITHFIELD, NC 27577
Johnston County (919) 934-8171
BRANDON HERB M.D.
Emergency Medicine
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 938-7135
MRS. REBECCA LLOYD REYNOLDS PA-C
Physician Assistant
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 938-7189
CAITLYN POWELL SPARKS RN
Registered Nurse
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 934-8171
ANN THIMSEN PFLUGRATH M.D.
Anesthesiology
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 585-8641
NC COMPREHENSIVE HOSPITALISTS PLLC
Hospitalist
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (877) 693-5700
AUBREY TURNER FRANKS PA
Physician Assistant
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 989-7909
UZMA S FAHEEM M.D
Psychiatry & Neurology (Psychiatry)
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 938-7558

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 Lalitha Papineni's NPI number?

The NPI number for Lalitha Papineni is 1467748988. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Lalitha Papineni located?

Lalitha Papineni practices at 509 N Brightleaf Blvd, Smithfield, NC 27577. The listed phone number is (919) 938-7189.

What is Lalitha Papineni's specialty?

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

Is Lalitha Papineni enrolled in Medicare?

Yes. Lalitha Papineni 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 Lalitha Papineni accept?

Health plans from Blue Cross and Blue Shield of NC list Lalitha Papineni 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 Lalitha Papineni affiliated with any hospitals?

According to CMS data, Lalitha Papineni is affiliated with Johnston Health.

When was this NPI record last updated?

The NPPES record for Lalitha Papineni was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.