Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Pudusseri, DO

Individual provider Advanced Heart Failure and Transplant Cardiology Physician · NPI 1881985588

Jerry Pudusseri, DO is a Cardiovascular Disease (Cardiology) in Scranton, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Our Lady of Lourdes Memorial Hospital Inc, a 249-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1800 Mulberry St
Scranton, PA 18510-2369
Phone: (570) 703-4830
Fax: (570) 703-4835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Heart Failure and Transplant Cardiology Physician (primary) Taxonomy 207RA0001X · Licence OS025564 (PA)

Record details

NPI number1881985588
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 28, 2011
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Our Lady Of Lourdes Memorial Hospital Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare