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

Shruthi Ponnala, MD

Individual provider Internal Medicine Physician · NPI 1831711191

Shruthi Ponnala, MD is an Internal Medicine in Bermuda Run, North Carolina. Qualified in 2011, 15 years ago. Practices with Moses Cone Physician Services, Inc, a 398-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and North Carolina.

Years since qualifying
15
Licensed in
MN, NC
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

329 Nc Highway 801 N
Bermuda Run, NC 27006-7905
Phone: (336) 998-2228
Show map & directions

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

Additional practice locations (1)

  • 1575 Beam Ave, Maplewood, MN 55109-2545 — (651) 232-7000

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2024-03218 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 74497 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831711191
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2020
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing addressMedical Center Blvd, Winston Salem, NC 27157-0001

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Moses Cone Physician Services, Inc — 398 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bermuda Run