Shruthi Ponnala, MD in Bermuda Run, NC - Medicare Internal Medicine

Shruthi Ponnala, MD is a medicare enrolled "Hospitalist" physician in Bermuda Run, North Carolina. She graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Healtheast Medical Research Institute, Moses Cone Physician Services, Inc and her current practice location is 329 Nc Highway 801 N, Bermuda Run, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 998-2228.

Shruthi Ponnala is licensed to practice in North Carolina (license number 2024-03218) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831711191.

Contact Information

	Shruthi Ponnala, MD
	329 Nc Highway 801 N, Bermuda Run, NC 27006-7905
	(336) 998-2228
	Not Available

Map and Direction

Physician's Profile

Full Name	Shruthi Ponnala
Gender	Female
Speciality	Internal Medicine
Experience	14 Years
Location	329 Nc Highway 801 N, Bermuda Run, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shruthi Ponnala graduated from medical school in 2011

NPI Data:

NPI Number: 1831711191
Provider Enumeration Date: 05/09/2020
Last Update Date: 04/16/2025

Medicare PECOS Information:

PECOS PAC ID: 9931569977
Enrollment ID: I20230721001836

Medical Identifiers

Medical identifiers for Shruthi Ponnala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831711191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	74497 (Minnesota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208M00000X	Hospitalist	2024-03218 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Carolina Baptist Hospital	Winston-salem, NC	Hospital
Healtheast St John's Hospital	Maplewood, MN	Hospital
Alamance Regional Medical Center	Burlington, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healtheast Medical Research Institute	3971407636	599
Moses Cone Physician Services, Inc	4284782210	335

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shruthi Ponnala allows following entities to bill medicare on her behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shruthi Ponnala is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shruthi Ponnala, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 998-2228	Shruthi Ponnala, MD 329 Nc Highway 801 N, Bermuda Run, NC 27006-7905 Ph: (336) 998-2228

Reviews and Comments

Hospitalist Doctors in Bermuda Run, NC

Nathanael Elvin Phillips, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006 Phone: 336-716-9253 Fax: 336-716-0030
Dr. Allyson Elizabeth Mentock, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006 Phone: 336-716-9253 Fax: 336-716-3202

Shruthi Ponnala, MD - Medicare Internal Medicine in Bermuda Run, NC