MS. PUJITHA VALLIVEDU CHENNAKESAVULU MD
NPI 1912698150
Internal Medicine in Bridgeport, CT
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
Specialties & Licenses 2
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
Ms. Pujitha Vallivedu Chennakesavulu 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.
Medicare Billing Reassignment
Medicare enrollment records show Pujitha Vallivedu Chennakesavulu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Pujitha Vallivedu Chennakesavulu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pujitha Vallivedu Chennakesavulu reassigns Medicare benefits to Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). The 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 Pujitha Vallivedu Chennakesavulu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 5 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.
# Ms. Pujitha Vallivedu Chennakesavulu, MD · NPI 1912698150
Internal Medicine physician in Bridgeport, Connecticut. Individual provider, active in the CMS NPPES registry since May 18, 2023.
## Identity
- **NPI:** 1912698150 (Entity type: Individual)
- **Enumerated:** May 18, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 83934 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 2900 MAIN STREET, Bridgeport, CT 06606
- **Phone:** (475) 210-5425 · **Fax:** (475) 210-5022
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912698150) · Data from the CMS NPPES public registry.