Dr Shiva Pavan Ponamgi, MD is a medicare enrolled "Hospitalist" physician in Austin, Minnesota. His current practice location is
1000 1st Dr Nw, Austin, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 443-7351.
Dr Shiva Pavan Ponamgi is licensed to practice in Minnesota (license number 57047) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669743118.
Physician's Profile
Full Name | Dr Shiva Pavan Ponamgi |
---|
Gender | Male |
---|
Speciality | Hospitalist |
---|
Location | 1000 1st Dr Nw, Austin, Minnesota |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669743118
- Provider Enumeration Date: 01/14/2012
- Last Update Date: 01/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517109390
- Enrollment ID: I20200805000119
Medical Identifiers
Medical identifiers for Dr Shiva Pavan Ponamgi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669743118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 57047 (Minnesota) | Primary |
207R00000X | Internal Medicine | 57047 (Minnesota) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | PERMIT ONLY (New Jersey) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shiva Pavan Ponamgi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Shiva Pavan Ponamgi, MD 1000 1st Dr Nw, Austin, MN 55912-2941 Ph: (507) 443-7351 | Dr Shiva Pavan Ponamgi, MD 1000 1st Dr Nw, Austin, MN 55912-2941 Ph: (507) 443-7351 |
Reviews and Comments