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SURAJ KOLLURU
NPI 1669354593
Student in an Organized Health Care Education/Training Program in North Little Rock, AR

Active since July 22, 2025PECOS Enrolled
3201 SPRINGHILL DR STE 100, NORTH LITTLE ROCK, AR 72117(501) 686-8000 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2026, Apr 27, 2026 (2 updates tracked since 2026).

About Suraj Kolluru NPPES

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

SURAJ KOLLURU (NPI 1669354593) is an individual student in an organized health care education/training program in North Little Rock, Arkansas and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669354593
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSURAJ KOLLURU
Location Address3201 SPRINGHILL DR STE 100North Little Rock, AR 72117-2905
Mailing Address3201 Springhill Dr Ste 100North Little Rock, AR 72117-2905
Phone(501) 686-8000
Sole ProprietorNo
Enumeration DateJuly 22, 2025
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1669354593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3201 SPRINGHILL DR STE 100, North Little Rock, AR 72117
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suraj Kolluru 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.

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.

SHAWN TANAKA DO
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530
MANPREET SAINI
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530
DR. CODY SCHILHAB MD
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530
DR. EUGENIA ABENA PINAMAN PREKO MD
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530
WESTON DOUGLAS ROGERS
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530
DR. DALTON DAVIS DO
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530
APRIL LAWSON ELLIS FNP
Nurse Practitioner (Family)
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 202-2000
IFRAH AMREEN HUSSAINI
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530

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 Suraj Kolluru's NPI number?

The NPI number for Suraj Kolluru is 1669354593. It was assigned to this individual provider in the NPPES registry on July 22, 2025.

Where is Suraj Kolluru located?

Suraj Kolluru practices at 3201 Springhill Dr Ste 100, North Little Rock, AR 72117. The listed phone number is (501) 686-8000.

What is Suraj Kolluru's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Suraj Kolluru enrolled in Medicare?

Yes. Suraj Kolluru is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Suraj Kolluru was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.