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MS. PUJITHA VALLIVEDU CHENNAKESAVULU MD
NPI 1912698150
Internal Medicine in Bridgeport, CT

Active since May 18, 2023PECOS Enrolled
2900 MAIN STREET, BRIDGEPORT, CT 06606(475) 210-5425(475) 210-5022 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Jul 25, 2023, May 18, 2023 (3 updates tracked since 2023).

About Ms. Pujitha Vallivedu Chennakesavulu Md NPPES

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

MS. PUJITHA VALLIVEDU CHENNAKESAVULU MD (NPI 1912698150) is an individual internal medicine provider in Bridgeport, Connecticut, licensed in Connecticut (83934) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912698150
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. PUJITHA VALLIVEDU CHENNAKESAVULUCredential: MD
Location Address2900 MAIN STREETBridgeport, CT 06606
Mailing Address2900 Main StreetBridgeport, CT 06606 · (475) 210-5425 · Fax (475) 210-5022
Phone(475) 210-5425
Fax(475) 210-5022
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 18, 2023
Last NPPES UpdateMay 6, 20263 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1912698150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 83934
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2900 MAIN STREET, Bridgeport, CT 06606
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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)

Ms. Pujitha Vallivedu Chennakesavulu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022587609
PECOS Enrollment IDI20260513000041
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06606 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Pujitha Vallivedu Chennakesavulu's NPI number?

The NPI number for Pujitha Vallivedu Chennakesavulu is 1912698150. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Pujitha Vallivedu Chennakesavulu located?

Pujitha Vallivedu Chennakesavulu practices at 2900 Main Street, Bridgeport, CT 06606. The listed phone number is (475) 210-5425.

What is Pujitha Vallivedu Chennakesavulu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pujitha Vallivedu Chennakesavulu enrolled in Medicare?

Yes. Pujitha Vallivedu Chennakesavulu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pujitha Vallivedu Chennakesavulu was last updated on May 6, 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.