| Department File Number : | M201677427 |
| Claim Number : | 9941.189 |
| Date Submitted : | 3/2/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| SOUTH PINELLAS MEDICAL TRUST | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-6599936 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Andrew | L | Wallace | ||
| Street Address | |||||
| 341 3rd Street S | |||||
| City | State | Zip | |||
| St. Petersburg | FL | 33701 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 822 - 4600 | (727) 822 - 4665 | awallacespmt@gmail.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Vijaya | L | Cherukuri | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 218 Pasadena Avenue South | ||||
| City | State | Zip Code | County | ||
| St. Petersburg | FL | 33707 | Pinellas | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 49580 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME76324 | Internal Medicine - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Pinellas | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| BAYFRONT MEDICAL CENTER | 100032 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 6/28/2011 | 7/15/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Medically uncertain. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| None. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| None. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Sudden unexpected death. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 12/13/2013 | 13-007146-CI | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Pinellas | 2/8/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Bayfront Medical Center Fredericks, M.D., Jennifer Phillips, M.D., Daniel S Singh, M.D., Vibhuti Bayfront Cardiovascular Associates Zalocha, M.D., Joseph S Emergency Medical Associates of Florida, LLC Oak Hill Hospitalists d/b/a Northside Hospitalists Soran, M.D., Mihaela Levine, M.D., Jason | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 2/8/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $72,689 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $75,000 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Dr. Cherukuri was the attending who promptly called in multiple specialists to address and manage the patient's needs. After both hers and expert review, no such steps are deemed necessary. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. VIJAYA L CHERUKURI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. VIJAYA L CHERUKURI, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).