Adam Joseph Kundishora, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. He went to Yale University School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Neurosurgery. His current practice location is
789 Howard Ave, Dept Of Neurosurgery, Tmp 4th Floor, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 785-2805.
Adam Joseph Kundishora is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1497103519.
Physician's Profile
| Full Name | Adam Joseph Kundishora |
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| Gender | Male |
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| Speciality | Neurosurgery |
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| Experience | 9 Years |
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| Location | 789 Howard Ave, New Haven, Connecticut |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Adam Joseph Kundishora attended and graduated from Yale University School Of Medicine in 2016
NPI Data:
- NPI Number: 1497103519
- Provider Enumeration Date: 05/31/2016
- Last Update Date: 02/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214221951
- Enrollment ID: I20250331001210
Medical Identifiers
Medical identifiers for Adam Joseph Kundishora such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497103519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | MD469564 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Adam Joseph Kundishora allows following entities to bill medicare on his behalf.
| Entity Name | Children's Surgical Associates Of New Jersey Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801984620
PECOS PAC ID: 6103246293
Enrollment ID: O20201012000202 |
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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. Adam Joseph Kundishora 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 |
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Adam Joseph Kundishora, MD
789 Howard Ave, Dept Of Neurosurgery, Tmp 4th Floor,
New Haven, CT 06519-1304
Ph: (203) 785-2805 | Adam Joseph Kundishora, MD
789 Howard Ave, Dept Of Neurosurgery, Tmp 4th Floor,
New Haven, CT 06519-1304
Ph: (203) 785-2805 |
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