SWATHI PULLELA D.O.
NPI 1588985196
Internal Medicine - Nephrology in Urbana, IL

Active since June 17, 2010PECOS EnrolledAccepts Medicare Assignment
611 W PARK ST, URBANA, IL 61801(217) 383-3605(217) 383-2704 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2022, Jan 27, 2017, Aug 9, 2016 and 1 more (4 updates tracked since 2016).

About Swathi Pullela D.o. NPPES

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

SWATHI PULLELA D.O. (NPI 1588985196) is an individual nephrology provider in Urbana, Illinois, licensed in Kentucky (03995) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1588985196
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSWATHI PULLELACredential: D.O.
Location Address611 W PARK STUrbana, IL 61801-2529
Mailing Address611 W Park StUrbana, IL 61801-2529
Fax(217) 383-2704
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 17, 2010
Last NPPES UpdateMay 19, 20224 updates tracked since enumeration
NPPES CertifiedMay 19, 2022
NPI 1588985196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in KY · 03995 Licensed in IL · 036158715 Licensed in OH · 34.012296
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
611 W PARK ST, Urbana, IL 61801

Other Identifiers 5

OtherP01727533OH · Rr Medicare
Other000001053047KY · Anthem Bcbs
Medicaid0179603OH
OtherP01729175KY · Rr Medicare
Medicaid7100433230KY

Accepted 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

Swathi Pullela D.o. 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 ID8022253103
PECOS Enrollment IDI20220120001460
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 10

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 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.
237 services88 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
158 services55 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.
147 services93 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
63 services51 patients
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.
45 services24 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
42 services38 patients

Hospital Affiliations CMS Care Compare 4

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Kirby Medical Center

Critical Access Hospitals · Monticello, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141301
Location1000 Medical Center DriveMonticello, IL 61856 · Piatt County
Emergency services

Gibson Community Hospital

Critical Access Hospitals · Gibson City, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141317
Location1120 N Melvin StreetGibson City, IL 60936 · Ford County
Emergency services Birthing friendly

Paris Community Hospital

Critical Access Hospitals · Paris, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141320
Location721 E Court StreetParis, IL 61944 · Edgar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

Internal Medicine (Interventional Cardiology)
611 W PARK ST, HVI
URBANA, IL 61801
Urology
611 W PARK ST
URBANA, IL 61801
Family Medicine
611 W PARK ST
URBANA, IL 61801
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Family Medicine
611 W PARK ST
URBANA, IL 61801

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 Swathi Pullela's NPI number?

The NPI number for Swathi Pullela is 1588985196. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Swathi Pullela located?

Swathi Pullela practices at 611 W Park St, Urbana, IL 61801. The listed phone number is (217) 383-3605.

What is Swathi Pullela's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Swathi Pullela enrolled in Medicare?

Yes. Swathi Pullela 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 Swathi Pullela accept?

Health plans from CareSource list Swathi Pullela 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 Swathi Pullela affiliated with any hospitals?

According to CMS data, Swathi Pullela is affiliated with Carle Foundation Hospital, Kirby Medical Center, Gibson Community Hospital and Paris Community Hospital.

When was this NPI record last updated?

The NPPES record for Swathi Pullela was last updated on May 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.