Shruthi Ponnala, MD - Medicare Hospitalist in Bermuda Run, NC

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Shruthi Ponnala, MD is a medicare enrolled "Hospitalist" physician in Bermuda Run, North Carolina. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 NameShruthi Ponnala
GenderFemale
SpecialityHospitalist
Location329 Nc Highway 801 N, Bermuda Run, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1831711191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 74497 (Minnesota)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208M00000XHospitalist 2024-03218 (North Carolina)Primary

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 NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Medicare Enrolled
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.