SHRAVYA REDDY POTHULA
NPI 1932840592
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since April 06, 2022PECOS Enrolled
12631 E 17TH AVE, AURORA, CO 80045(303) 724-1784 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shravya Reddy Pothula NPPES

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

SHRAVYA REDDY POTHULA (NPI 1932840592) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932840592
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHRAVYA REDDY POTHULA
Location Address12631 E 17TH AVEAurora, CO 80045-2527
Mailing Address12631 E 17th AveAurora, CO 80045-2527 · (303) 724-1784
Sole ProprietorNo
Enumeration DateApril 6, 2022
NPPES CertifiedApril 6, 2022
NPI 1932840592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12631 E 17TH AVE, Aurora, CO 80045

Medicare Participation & PECOS Enrollment Status

Shravya Pothula is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
12631 E 17TH AVE, C238-L15
AURORA, CO 80045
Pharmacist
12631 E 17TH AVE
AURORA, CO 80045
General Acute Care Hospital (Women)
12631 E 17TH AVE
AURORA, CO 80045
Nurse Practitioner (Acute Care)
12631 E 17TH AVE, ROOM 5212, MAIL STOP B185
AURORA, CO 80045
Obstetrics & Gynecology
12631 E 17TH AVE
AURORA, CO 80045
Obstetrics & Gynecology
12631 E 17TH AVE
AURORA, CO 80045
Psychologist (Clinical)
12631 E 17TH AVE, AO1, ROOM 3408
AURORA, CO 80045
Obstetrics & Gynecology
12631 E 17TH AVE
AURORA, CO 80045
Thoracic Surgery (Cardiothoracic Vascular Surgery)
12631 E 17TH AVE, DIVISION OF CARDIOTHORACIC SURGERY, C310, ROOM 6602
AURORA, CO 80045
Internal Medicine
12631 E 17TH AVE, MAIL STOP 8200 - AO1, RM 2414
AURORA, CO 80045
Neurological Surgery
12631 E 17TH AVE, ACADEMIC OFFICE 1, ROOM 5001, MAILSTOP C307
AURORA, CO 80045
Obstetrics & Gynecology
12631 E 17TH AVE, B198-6
AURORA, CO 80045
Obstetrics & Gynecology (Maternal & Fetal Medicine)
12631 E 17TH AVE
AURORA, CO 80045
Obstetrics & Gynecology
12631 E 17TH AVE, MAILSTOP B-198-2
AURORA, CO 80045
Pathology (Anatomic Pathology & Clinical Pathology)
12631 E 17TH AVE, DEPARTMENT OF PATHOLOGY, MAIL STOP 8104
AURORA, CO 80045
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
12631 E 17TH AVE, MAILBOX B202, ACADEMIC OFFICE 1
AURORA, CO 80045
Surgery (Trauma Surgery)
12631 E 17TH AVE, ROOM 6001
AURORA, CO 80045
Surgery
12631 E 17TH AVE, MS C302
AURORA, CO 80045
Surgery
12631 E 17TH AVE, MS C302
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932840592, enumerated as an "individual" on April 06, 2022.

The provider is located at 12631 E 17TH AVE AURORA, CO 80045 and the phone number is (303) 724-1784.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.