Shruthi Ponnala, MD is a medicare enrolled "Hospitalist" physician in Bermuda Run, North Carolina. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice 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.
Physician's Profile
| Full Name | Shruthi Ponnala |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 15 Years |
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| Location | 329 Nc Highway 801 N, Bermuda Run, North Carolina |
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| 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: I20250425000186
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
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Moses Cone Physician Services, Inc | 4284782210 | 390 |
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 | Wake Forest University Health Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
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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 |
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