Surya Srividya Petla, MD - Medicare Family Practice in Omaha, NE

Surya Srividya Petla, MD is a medicare enrolled "Hospitalist" physician in Omaha, Nebraska. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Monongalia County General Hospital Company and her current practice location is 7500 Mercy Rd, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (855) 524-4001.

Surya Srividya Petla is licensed to practice in Nebraska (license number CP1898) 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 1184074601.

Contact Information

Surya Srividya Petla, MD
7500 Mercy Rd,
Omaha, NE 68124-2319
(855) 524-4001
(402) 398-5589

Map and Direction




Physician's Profile

Full NameSurya Srividya Petla
GenderFemale
SpecialityFamily Practice
Experience14 Years
Location7500 Mercy Rd, Omaha, Nebraska
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Surya Srividya Petla graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1184074601
  • Provider Enumeration Date: 06/15/2016
  • Last Update Date: 01/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2466748132
  • Enrollment ID: I20220907000023

Medical Identifiers

Medical identifiers for Surya Srividya Petla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184074601NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist CP1898 (Nebraska)Primary
207R00000XInternal Medicine 31173 (West Virginia)Secondary
208000000XPediatrics 31173 (West Virginia)Secondary
208M00000XHospitalist MD-56311 (Iowa)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mon Health Medical CenterMorgantown, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Monongalia County General Hospital Company9638073380212

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. Surya Srividya Petla allows following entities to bill medicare on her behalf.
Entity NameMonongalia County General Hospital Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447673223
PECOS PAC ID: 9638073380
Enrollment ID: O20031124000459

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. Surya Srividya Petla 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
Surya Srividya Petla, MD
7500 Mercy Rd,
Omaha, NE 68124-2319

Ph: (855) 524-4001
Surya Srividya Petla, MD
7500 Mercy Rd,
Omaha, NE 68124-2319

Ph: (855) 524-4001

Reviews and Comments


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Practice Location: 7500 Mercy Rd, Omaha, NE 68124
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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.