BRIAN PULAYYA
NPI 1780126839
Physician Assistant - Medical in Jacksonville, FL

Active since November 07, 2016PECOS EnrolledAccepts Medicare Assignment
77.15/100
CMS Quality Rating
3 SHIRCLIFF WAY STE 400, JACKSONVILLE, FL 32204(904) 381-9393(904) 381-9314 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2021, Nov 7, 2016 (2 updates tracked since 2016).

About Brian Pulayya NPPES

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

BRIAN PULAYYA (NPI 1780126839) is an individual medical provider in Jacksonville, Florida, licensed in Florida (PA9109984) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780126839
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRIAN PULAYYA
Location Address3 SHIRCLIFF WAY STE 400Jacksonville, FL 32204-4780
Mailing Address4958 Key Lime Dr Unit 105Jacksonville, FL 32256-3253 · (321) 946-8441
Fax(904) 381-9314
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 7, 2016
Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
NPI 1780126839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9109984
3 SHIRCLIFF WAY STE 400, Jacksonville, FL 32204

Other Identifiers 1

Medicaid019564200FL

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

Brian Pulayya 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 ID7618250010
PECOS Enrollment IDI20170209000736
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.

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

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.

77.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.95
Promoting Interoperability96
Improvement Activities40
Cost61.22

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 Brian Pulayya's NPI number?

The NPI number for Brian Pulayya is 1780126839. It was assigned to this individual provider in the NPPES registry on November 7, 2016.

Where is Brian Pulayya located?

Brian Pulayya practices at 3 Shircliff Way Ste 400, Jacksonville, FL 32204. The listed phone number is (904) 381-9393.

What is Brian Pulayya's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brian Pulayya enrolled in Medicare?

Yes. Brian Pulayya 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 Brian Pulayya accept?

Health plans from Ambetter Health and Ambetter of Alabama list Brian Pulayya 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 Brian Pulayya affiliated with any hospitals?

According to CMS data, Brian Pulayya is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Brian Pulayya was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.