SRINIVAS PAVULURI, MD, PA
NPI 1639190705
Psychiatry & Neurology - Neurology in Hazlet, NJ
About Srinivas Pavuluri, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SRINIVAS PAVULURI, MD, PA (NPI 1639190705) is a healthcare organization registered as a neurology in Hazlet, New Jersey and active in the NPI registry since July 2006. The organization lists Srinivas Pavuluri, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Srinivas Pavuluri, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Srinivas Pavuluri, MD, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Srinivas Pavuluri, MD, PA's NPI number?
The NPI number for Srinivas Pavuluri, MD, PA is 1639190705. It was assigned to this organization in the NPPES registry on July 22, 2006.
Where is Srinivas Pavuluri, MD, PA located?
Srinivas Pavuluri, MD, PA is located at 1 Bethany Rd Ste 91, Hazlet, NJ 07730. The listed phone number is (732) 264-4300.
What is Srinivas Pavuluri, MD, PA's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Srinivas Pavuluri, MD, PA enrolled in Medicare?
Yes. Srinivas Pavuluri, MD, PA is registered in the Medicare PECOS enrollment system.
When is Srinivas Pavuluri, MD, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Srinivas Pavuluri, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Neurology, reassign their Medicare billing to Srinivas Pavuluri, MD, PA. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Srinivas Pavuluri, MD, PA was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.
# Srinivas Pavuluri, Md, Pa · NPI 1639190705
Neurology organization in Hazlet, New Jersey. Organization record, active in the CMS NPPES registry since July 22, 2006.
## Identity
- **NPI:** 1639190705 (Entity type: Organization)
- **Enumerated:** July 22, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Srinivas Pavuluri, PRESIDENT/CEO
## Practice location
- **Address:** 1 BETHANY RD STE 91, Hazlet, NJ 07730-1669
- **Phone:** (732) 264-4300 · **Fax:** (732) 264-1102
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Neurology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639190705) · Data from the CMS NPPES public registry.