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DR. SRIDEVI MUTHUKUMAR M.D.
NPI 1508031048
Pediatrics in Johns Creek, GA

Active since April 25, 2008PECOS Enrolled
10710 MEDLOCK BRIDGE RD, 250, JOHNS CREEK, GA 30097(770) 870-1085(770) 870-1086 Get Directions Write a Review

NPPES record last updated: February 22, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sridevi Muthukumar M.d. NPPES

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

DR. SRIDEVI MUTHUKUMAR M.D. (NPI 1508031048) is an individual pediatrics provider in Johns Creek, Georgia, licensed in Georgia (63377) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508031048
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SRIDEVI MUTHUKUMARCredential: M.D.
Location Address10710 MEDLOCK BRIDGE RD, 250Johns Creek, GA 30097-1827
Mailing Address10710 Medlock Bridge Rd, 250Johns Creek, GA 30097-1827 · (770) 870-1085 · Fax (770) 870-1086
Phone(770) 870-1085
Fax(770) 870-1086
Sole ProprietorYes
Enumeration DateApril 25, 2008
Last NPPES UpdateFebruary 22, 2013
✔ NPI 1508031048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 63377
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.
10710 MEDLOCK BRIDGE RD, Johns Creek, GA 30097
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 (PECOS)

Dr. Sridevi Muthukumar M.d. 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 Sridevi Muthukumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
7.9 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611

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 30097 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTH ONE MEDICAL GROUP LLC
Internal Medicine
10710 MEDLOCK BRIDGE RD, SUITE 150
JOHNS CREEK, GA 30097
Gwinnett County (770) 497-4188
COMPLETE WOMENS HEALTHCARE LLC
Obstetrics & Gynecology
10710 MEDLOCK BRIDGE RD, STE 200
JOHNS CREEK, GA 30097
Gwinnett County (770) 622-9810
DR. CHRISTOPHER C KANG M.D.
Internal Medicine
10710 MEDLOCK BRIDGE RD, SUITE 150
JOHNS CREEK, GA 30097
Gwinnett County (770) 497-4188
NIRDESH PARIKH DMD
Dentist
10710 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097
Gwinnett County (678) 957-0770

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 Sridevi Muthukumar's NPI number?

The NPI number for Sridevi Muthukumar is 1508031048. It was assigned to this individual provider in the NPPES registry on April 25, 2008.

Where is Sridevi Muthukumar located?

Sridevi Muthukumar practices at 10710 Medlock Bridge Rd 250, Johns Creek, GA 30097. The listed phone number is (770) 870-1085.

What is Sridevi Muthukumar's specialty?

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

Is Sridevi Muthukumar enrolled in Medicare?

Yes. Sridevi Muthukumar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sridevi Muthukumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sridevi Muthukumar reassigns Medicare benefits to Wellstar Medical Group, LLC (Roswell, GA). 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 Sridevi Muthukumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sridevi Muthukumar accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Sridevi Muthukumar 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 Sridevi Muthukumar was last updated on February 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.