SURYA THEJA POLAVARAPU MD
NPI 1780242776
Family Medicine in Quincy, IL

Q: What is Surya Polavarapu's NPI number?

The NPI number for Surya Polavarapu is 1780242776. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Q: What is Surya Polavarapu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Surya Polavarapu was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 04, 2019PECOS EnrolledAccepts Medicare Assignment

612 N 11TH ST, QUINCY, IL 62301(217) 224-9484(217) 224-7950 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Surya Theja Polavarapu Md NPPES

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

SURYA THEJA POLAVARAPU MD (NPI 1780242776) is an individual family medicine provider in Quincy, Illinois, licensed in Illinois (125-074374) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1780242776

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSURYA THEJA POLAVARAPUCredential: MD

Location Address612 N 11TH STQuincy, IL 62301-2662

Mailing Address612 N 11th StQuincy, IL 62301-2662 · (217) 224-9484 · Fax (217) 224-7950

Phone(217) 224-9484

Fax(217) 224-7950

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 4, 2019

✔ NPI 1780242776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 125-074374

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

612 N 11TH ST, Quincy, IL 62301

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Surya Theja Polavarapu 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 ID7911230719

PECOS Enrollment IDI20220915003056

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.

Blessing Hospital

Acute Care Hospitals · Quincy, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140015

Location1005 Broadway StQuincy, IL 62301 · Adams County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers11 claims21 services$5.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DEANDRA RANGEL

Social Worker