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SPRIHA PAVULURI M.D.
NPI 1811251275
Psychiatry & Neurology - Neurology in Omaha, NE

Active since June 30, 2012PECOS EnrolledAccepts Medicare Assignment
8200 DODGE ST # NE68114, OMAHA, NE 68114(630) 639-1937 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spriha Pavuluri M.d. NPPES

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

SPRIHA PAVULURI M.D. (NPI 1811251275) is an individual neurology provider in Omaha, Nebraska, licensed in Nebraska (34558) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Paris Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2012).

NPPES Registry Identity

NPI1811251275
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSPRIHA PAVULURICredential: M.D.
Location Address8200 DODGE ST # NE68114Omaha, NE 68114-4113
Mailing Address1832 CanvasbackAubrey, TX 76227-3530 · (630) 639-1937 · Fax (319) 384-8476
Phone(630) 639-1937
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2012
Enumeration DateJune 30, 2012
Last NPPES UpdateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1811251275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NE · 34558
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
8200 DODGE ST # NE68114, Omaha, NE 68114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Spriha Pavuluri M.d. 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 ID5496998742
PECOS Enrollment IDI20250927000477
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Spriha Pavuluri reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unmc Physicians
7.1 mi
Multi-Specialty
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
  • Reassigned Medicare billing, Nebraska enrollment
  • 2,154 clinicians in this Medicare group
NPI 1417912114 (402) 552-3739
Burlington Neurology And Sleep Clinic, Plc
256 mi
Neurology
1225 S GEAR AVE STE 153, MERCY PLAZA
West Burlington, IA 52655
  • Reassigned Medicare billing, Iowa enrollment
  • 10 clinicians in this Medicare group
NPI 1801922018 (319) 754-4400
Prmc Healthcare Group Inc
523 mi
General Practice
865 DESHONG DR
Paris, TX 75460
  • Reassigned Medicare billing, Texas enrollment
  • 51 clinicians in this Medicare group
NPI 1457514648 (903) 739-7461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450196
Location865 Deshong DrParis, TX 75460 · Lamar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68114 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

Reported Quality Measures

Dementia: Functional Status Assessment
Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months
98%342 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,377 patients5/55-star benchmark: 100%
Exercise and Appropriate Physical Activity Counseling for Patients with MS
Percentage of patients with MS who are counseled* on the benefits of exercise and appropriate physical activity for patients with MS in the past 12 months.
46%68 patients
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
7%1,002 patients1/55-star benchmark: 99%
MEDICATION PRESCRIBED FOR ACUTE MIGRAINE ATTACK
Percentage of patients age 12 years and older with a diagnosis of migraine who were prescribed a guideline recommended medication for acute migraine attacks within the 12 month measurement period.
70%146 patients4/55-star benchmark: 90%
Parkinson's Disease: Cognitive Impairment or Dysfunction Assessment
Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for cognitive impairment or dysfunction in the past 12 months
7%122 patients1/55-star benchmark: 100%
Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease
Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for psychiatric symptoms** in the past 12 months
3%122 patients1/55-star benchmark: 100%
Parkinson's Disease: Rehabilitative Therapy Options
Percentage of all patients with a diagnosis of Parkinson's Disease (or caregiver(s), as appropriate) who had rehabilitative therapy options (e.g., physical, occupational, or speech therapy) discussed in the past 12 months
1%122 patients1/55-star benchmark: 100%
Screening for Psychiatric or Behavioral Health Disorders
Percent of all visits for patients with a diagnosis of epilepsy where the patient was screened for psychiatric or behavioral disorders.
98%282 patients4/55-star benchmark: 100%
Sleep Apnea: Assessment of Sleep Symptoms
Percentage of visits for patients aged 18 years and older with a diagnosis of obstructive sleep apnea that includes documentation of an assessment of sleep symptoms, including presence or absence of snoring and daytime sleepiness
23%154 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers12 claims12 services$22.94 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers14 claims14 services$20.95 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers18 claims108 services$2.86 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

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

ASHLEY JOY RDN, LMNT
Dietitian, Registered (Nutrition, Pediatric)
8200 DODGE ST # NE68114
OMAHA, NE 68114
Douglas County (402) 955-5400

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 Spriha Pavuluri's NPI number?

The NPI number for Spriha Pavuluri is 1811251275. It was assigned to this individual provider in the NPPES registry on June 30, 2012.

Where is Spriha Pavuluri located?

Spriha Pavuluri practices at 8200 Dodge St # Ne68114, Omaha, NE 68114. The listed phone number is (630) 639-1937.

What is Spriha Pavuluri's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Spriha Pavuluri enrolled in Medicare?

Yes. Spriha Pavuluri 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.

Which organizations bill Medicare for Spriha Pavuluri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spriha Pavuluri reassigns Medicare benefits to 3 organizations: Unmc Physicians (Omaha, NE), Burlington Neurology And Sleep Clinic, Plc (West Burlington, IA) and Prmc Healthcare Group Inc (Paris, TX). Each 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 Spriha Pavuluri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Spriha Pavuluri accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 2 other insurers list Spriha Pavuluri 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 Spriha Pavuluri affiliated with any hospitals?

According to CMS data, Spriha Pavuluri is affiliated with Paris Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Spriha Pavuluri was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.