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

Surya Srividya Petla, MD

Individual provider Hospitalist Physician · NPI 1184074601

Surya Srividya Petla, MD is a Family Practice in Omaha, Nebraska. Qualified in 2012, 14 years ago. Practices with Monongalia County General Hospital Company, a 245-clinician group and accepts Medicare assignment. Licensed in Iowa, Nebraska and West Virginia.

Years since qualifying
14
Licensed in
IA, NE, WV
In the registry since
2016
Specialties on file
4
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

7500 Mercy Rd
Omaha, NE 68124-2319
Phone: (855) 524-4001
Fax: (402) 398-5589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence CP1898 (NE)
Internal Medicine Physician Taxonomy 207R00000X · Licence 31173 (WV)
Pediatrics Physician Taxonomy 208000000X · Licence 31173 (WV)
Hospitalist Physician Taxonomy 208M00000X · Licence MD-56311 (IA)

Record details

NPI number1184074601
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2016
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Monongalia County General Hospital Company — 245 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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