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

Individual provider Family Medicine Physician · NPI 1780242776

Surya Theja Polavarapu, MD is a Family Practice in Quincy, Illinois. Qualified in 2010, 16 years ago. Practices with Blessing Hospital, a 413-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2019
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

612 N 11th St
Quincy, IL 62301-2662
Phone: (217) 224-9484
Fax: (217) 224-7950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125-074374 (IL)

Record details

NPI number1780242776
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESJune 4, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Blessing Hospital — 413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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