Jyothi Pravallika Edupuganti, DO
NPI 1205638723 · Student in an Organized Health Care Education/Training Program · Cornelius, NC
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jyothi Pravallika Edupuganti, DO is a Student in an Organized Health Care Education/Training Program provider in Cornelius, NC (NPI 1205638723).
Provider details
- NPI number
- 1205638723
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense RTL25-1107 (NC)
Student, Health Care
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-25
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Frequently asked questions
- What is Jyothi Pravallika Edupuganti's NPI number?
- Jyothi Pravallika Edupuganti's National Provider Identifier (NPI) is 1205638723, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jyothi Pravallika Edupuganti's specialty?
- Jyothi Pravallika Edupuganti is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jyothi Pravallika Edupuganti located?
- Jyothi Pravallika Edupuganti's practice location on file with NPPES is 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031-6583.
- What is Jyothi Pravallika Edupuganti's phone number?
- The practice phone number listed in the NPPES registry for Jyothi Pravallika Edupuganti is (704) 316-5170.
- Does Jyothi Pravallika Edupuganti accept Medicare?
- Jyothi Pravallika Edupuganti is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jyothi Pravallika Edupuganti's NPI active?
- Yes — Jyothi Pravallika Edupuganti's NPI (1205638723) is active in the NPPES registry as of the last update on 2025-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.