Prathima Kanumuri, MD - Medicare Surgery in Niskayuna, NY

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Prathima Kanumuri, MD is a medicare enrolled "Surgery" physician in Niskayuna, New York. Her current practice location is 2210 Troy Schenectady Rd, Niskayuna, New York. You can reach out to her office (for appointments etc.) via phone at (518) 612-8560.

Prathima Kanumuri is licensed to practice in New York (license number 256886) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811188659.

Contact Information

Prathima Kanumuri, MD
2210 Troy Schenectady Rd,
Niskayuna, NY 12309-4725
(518) 612-8560
(518) 612-8561

Map and Direction




Physician's Profile

Full NamePrathima Kanumuri
GenderFemale
SpecialitySurgery
Location2210 Troy Schenectady Rd, Niskayuna, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811188659
  • Provider Enumeration Date: 08/07/2007
  • Last Update Date: 03/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2264749001
  • Enrollment ID: I20150911000469

Medical Identifiers

Medical identifiers for Prathima Kanumuri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811188659NPI-NPPES
04227556MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 256886 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Prathima Kanumuri allows following entities to bill medicare on her behalf.
Entity NameEllis Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487644993
PECOS PAC ID: 5890607410
Enrollment ID: O20031103000406

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. Prathima Kanumuri 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 AddressPractice Location Address
Prathima Kanumuri, MD
1201 Nott St, Suite 103,
Schenectady, NY 12308-2589

Ph: (518) 612-8560		Prathima Kanumuri, MD
2210 Troy Schenectady Rd,
Niskayuna, NY 12309-4725

Ph: (518) 612-8560

Reviews and Comments


Surgery Doctors in Niskayuna, NY

Malene Kay Ingram, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 2125 River Rd, Suite 302, Niskayuna, NY 12309
Phone: 518-243-1313    Fax: 518-831-8007
Numeriano Go, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2468 Brookshire Dr, Niskayuna, NY 12309
Phone: 518-372-5308    Fax: 518-388-9926

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.