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DR. BABITHA NALLURI MD
NPI 1518933563
Obstetrics & Gynecology - Gynecology in Youngstown, OH

Active since February 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 36D1027642 · Waiver
7067 TIFFANY BLVD, SUITE 220, YOUNGSTOWN, OH 44514(330) 758-2041(330) 758-2042 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Babitha Nalluri Md NPPES

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

DR. BABITHA NALLURI MD (NPI 1518933563) is an individual gynecology provider in Youngstown, Ohio, licensed in Ohio (35083919) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 5, 2028, and is affiliated with St Elizabeth Youngstown Hospital.

NPPES Registry Identity

NPI1518933563
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. BABITHA NALLURICredential: MD
Location Address7067 TIFFANY BLVD, SUITE 220Youngstown, OH 44514-1993
Mailing AddressPo Box 14577Poland, OH 44514-7577 · (330) 758-2041 · Fax (330) 758-2042
Phone(330) 758-2041
Fax(330) 758-2042
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJanuary 12, 2023
NPPES CertifiedJanuary 12, 2023
✔ NPI 1518933563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in OH · 35083919
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
7067 TIFFANY BLVD, Youngstown, OH 44514
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Babitha Nalluri 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 ID2163495698
PECOS Enrollment IDI20040816001098
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 36D1027642

Babitha Nalluri MD Ltd · Boardman, OH
Active · expires Jul 5, 2028
CLIA Number36D1027642
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorBabitha Nalluri MD
Laboratory Phone(330) 758-2041
Laboratory LocationBabitha Nalluri MD Ltd7067 Tiffany Boulevard Suite 220, Boardman, OH 44512
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.

Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
70 services70 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services49 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
56 services56 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
48 services48 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
20 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services16 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44514 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
49%41 patients2/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
15%33 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
22%41 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

MICHAEL P. STANICH, DO
Orthopaedic Surgery
7067 TIFFANY BLVD, SUITE 150
YOUNGSTOWN, OH 44514
Mahoning County (330) 726-9077
MAHONING VALLEY IMAGING LTD
Radiology (Diagnostic Radiology)
7067 TIFFANY BLVD
YOUNGSTOWN, OH 44514
Mahoning County (330) 629-2366
DR. MICHAEL P STANICH DO
Orthopaedic Surgery
7067 TIFFANY BLVD, SUITE 150
YOUNGSTOWN, OH 44514
Mahoning County (330) 726-9077
MAHONING ANESTHESIA CONSULTANTS, LLC
Anesthesiology (Pain Medicine)
7067 TIFFANY BLVD, SUITE 230
YOUNGSTOWN, OH 44514
Mahoning County (330) 758-2748
MRS. JENNIFER L FAUTAS ACNS-BC
Clinical Nurse Specialist (Acute Care)
7067 TIFFANY BLVD, SUITE 230
YOUNGSTOWN, OH 44514
Mahoning County (330) 758-2748
MRS. ANITA R. KOCH RN CNS
Clinical Nurse Specialist (Adult Health)
7067 TIFFANY BLVD, SUITE 230
POLAND, OH 44514
Mahoning County (330) 758-2748
CALIOPE GIALOUSIS FNP
Nurse Practitioner (Family)
7067 TIFFANY BLVD
YOUNGSTOWN, OH 44514
Mahoning County (330) 758-2041
SANTUCCIO RICCIARDI MD
Internal Medicine
7067 TIFFANY BLVD, STE 250
YOUNGSTOWN, OH 44514
Mahoning County (330) 726-4500

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 Babitha Nalluri's NPI number?

The NPI number for Babitha Nalluri is 1518933563. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Babitha Nalluri located?

Babitha Nalluri practices at 7067 Tiffany Blvd Suite 220, Youngstown, OH 44514. The listed phone number is (330) 758-2041.

What is Babitha Nalluri's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Babitha Nalluri enrolled in Medicare?

Yes. Babitha Nalluri 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 Babitha Nalluri hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1027642) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Babitha Nalluri accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Babitha Nalluri 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 Babitha Nalluri affiliated with any hospitals?

According to CMS data, Babitha Nalluri is affiliated with St Elizabeth Youngstown Hospital, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Babitha Nalluri was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.