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AJITHA YELURU
NPI 1487130696
Pediatrics in Benton, AR

Active since July 11, 2018PECOS Enrolled
5 MEDICAL PARK DR STE GL2, BENTON, AR 72015(501) 574-7337 Get Directions Write a Review

NPPES record last updated: July 31, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2021, Jul 11, 2018 (2 updates tracked since 2018).

About Ajitha Yeluru NPPES

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

AJITHA YELURU (NPI 1487130696) is an individual pediatrics provider in Benton, Arkansas, licensed in Arkansas (E-14534) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487130696
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAJITHA YELURU
Location Address5 MEDICAL PARK DR STE GL2Benton, AR 72015-3745
Mailing Address5 Medical Park Dr Ste Gl2Benton, AR 72015-3745 · (501) 574-7337
Phone(501) 574-7337
Sole ProprietorNo
Enumeration DateJuly 11, 2018
Last NPPES UpdateJuly 31, 20212 updates tracked since enumeration
NPPES CertifiedJuly 31, 2021
✔ NPI 1487130696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AR · E-14534
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5 MEDICAL PARK DR STE GL2, Benton, AR 72015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ajitha Yeluru is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Ajitha Yeluru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saline Clinics LLC
Same address
Gastroenterology
1 MEDICAL PARK DR
Benton, AR 72015
  • Reassigned Medicare billing, Arkansas enrollment
  • 63 clinicians in this Medicare group
NPI 1447609367 (501) 776-6093

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72015 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Ajitha Yeluru's NPI number?

The NPI number for Ajitha Yeluru is 1487130696. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Ajitha Yeluru located?

Ajitha Yeluru practices at 5 Medical Park Dr Ste Gl2, Benton, AR 72015. The listed phone number is (501) 574-7337.

What is Ajitha Yeluru's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ajitha Yeluru enrolled in Medicare?

Yes. Ajitha Yeluru is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ajitha Yeluru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajitha Yeluru reassigns Medicare benefits to Saline Clinics LLC (Benton, AR). 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 Ajitha Yeluru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ajitha Yeluru accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Ajitha Yeluru 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.

When was this NPI record last updated?

The NPPES record for Ajitha Yeluru was last updated on July 31, 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.