Sudheer Penupolu, MD - Medicare Internal Medicine in Danville, PA

Sudheer Penupolu, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Danville, Pennsylvania. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Geisinger Clinic and his current practice location is 100 North Academy Avenue, Danville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 271-6655.

Sudheer Penupolu is licensed to practice in Pennsylvania (license number MD454637) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578818639.

Contact Information

Sudheer Penupolu, MD
100 North Academy Avenue,
Danville, PA 17822
(570) 271-6655
(570) 214-3967



Physician's Profile

Full NameSudheer Penupolu
GenderMale
SpecialityInternal Medicine
Experience18 Years
Location100 North Academy Avenue, Danville, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sudheer Penupolu graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1578818639
  • Provider Enumeration Date: 07/16/2012
  • Last Update Date: 08/31/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4981841095
  • Enrollment ID: I20150715001373

Medical Identifiers

Medical identifiers for Sudheer Penupolu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578818639NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine MD454637 (Pennsylvania)Secondary
390200000XStudent In An Organized Health Care Education/training Program R73194 (Arizona)Secondary
207RP1001XInternal Medicine - Pulmonary Disease MD454637 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Geisinger Medical CenterDanville, PAHospital
Geisinger-lewistown HospitalLewistown, PAHospital
Geisinger-bloomsburg HospitalBloomsburg, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geisinger Clinic53956570012866

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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. Sudheer Penupolu allows following entities to bill medicare on his behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518

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Entity NameEvangelical Medical Services Organization
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295834984
PECOS PAC ID: 9133033087
Enrollment ID: O20040310000212

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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. Sudheer Penupolu 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
Sudheer Penupolu, MD
100 North Academy Avenue,
Danville, PA 17822

Ph: (570) 271-6655
Sudheer Penupolu, MD
100 North Academy Avenue,
Danville, PA 17822

Ph: (570) 271-6655

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Internal Medicine Doctors in Danville, PA

Dr. Stanley Joseph Russin, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 100 N Academy Ave, Danville, PA 17822
Phone: 570-214-9585    Fax: 570-214-9519
Dr. Steven Bonebrake, D.O.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 100 N Academy Ave, Danville, PA 17822
Phone: 570-271-5555    Fax: 570-271-5269
Tatiana Parra,
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 100 N Academy Ave, Danville, PA 17822
Phone: 570-271-6164    Fax: 570-271-6141
Dr. Paul Flavian Simonelli, MD, PH.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 100 N Academy Ave, Mc 01-11, Danville, PA 17822
Phone: 570-271-6655    Fax: 570-214-3967
Dr. Taher M. Yahya, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 100 N Academy Ave, Danville, PA 17822
Phone: 570-271-6393    Fax: 570-271-5623
Dr. Ion D. Bucaloiu, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 100 N Academy Ave, Danville, PA 17822
Phone: 570-271-6164    Fax: 570-271-6141
Dr. Mark A Shelly, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 100 N Academy Ave, Danville, PA 17822
Phone: 570-271-6408    Fax: 570-271-5845

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