SIVARAMA KRISHNA MEDURI MD
NPI 1508882945
Internal Medicine - Pulmonary Disease in Dalton, GA

Active since July 15, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 11D0262329 · Waiver
1020 CHATTANOOGA AVE, STE A&B, DALTON, GA 30720(706) 226-1300(706) 275-6478 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sivarama Krishna Meduri Md NPPES

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

SIVARAMA KRISHNA MEDURI MD (NPI 1508882945) is an individual pulmonary disease provider in Dalton, Georgia, licensed in Georgia (020055) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 19, 2028, and is affiliated with Hamilton Medical Center.

NPPES Registry Identity

NPI1508882945
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSIVARAMA KRISHNA MEDURICredential: MD
Location Address1020 CHATTANOOGA AVE, STE A&BDalton, GA 30720
Mailing Address1020 Chattanooga Ave, Ste A&bDalton, GA 30720 · (706) 226-1300 · Fax (706) 275-6478
Fax(706) 275-6478
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateJuly 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1508882945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in GA · 020055
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1020 CHATTANOOGA AVE, Dalton, GA 30720

Other Identifiers 2

Medicare UPIND40633
Medicaid85000113GGA

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

Sivarama Krishna Meduri Md 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 ID4486802063
PECOS Enrollment IDI20120925000071
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0262329

Sivarama K Meduri MD Pulmonary Diseases · Dalton, GA
Active · expires Feb 19, 2028
CLIA Number11D0262329
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorSivarama K. Meduri
Laboratory Phone(706) 226-1300
Laboratory LocationSivarama K Meduri MD Pulmonary Diseases1421 Ross Drive, Suite 3, Dalton, GA 30720
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
322 services38 patients

Hospital Affiliations CMS Care Compare

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 7

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

Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims360 services$1.94 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$7.98 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each A5112
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$33.47 avg. paid by Medicare
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. A5131
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$15.30 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers26 claims26 services$16.01 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$46.07 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 4

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

Dentist (General Practice)
1020 CHATTANOOGA AVE, STE D
DALTON, GA 30720
Family Medicine
1020 CHATTANOOGA AVE, SUITE A
DALTON, GA 30720
Day Training, Developmentally Disabled Services
1020 CHATTANOOGA AVE
DALTON, GA 30720
Dentist (General Practice)
1020 CHATTANOOGA AVE, STE D
DALTON, GA 30720

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 Sivarama Meduri's NPI number?

The NPI number for Sivarama Meduri is 1508882945. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Sivarama Meduri located?

Sivarama Meduri practices at 1020 Chattanooga Ave Ste A&b, Dalton, GA 30720. The listed phone number is (706) 226-1300.

What is Sivarama Meduri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sivarama Meduri enrolled in Medicare?

Yes. Sivarama Meduri 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.

Does Sivarama Meduri hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0262329) is associated with this NPI, valid through February 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Sivarama Meduri affiliated with any hospitals?

According to CMS data, Sivarama Meduri is affiliated with Hamilton Medical Center.

When was this NPI record last updated?

The NPPES record for Sivarama Meduri was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.