Dr Kasturi Etukuru, MD, - Medicare Internal Medicine in Staten Island, NY

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Dr Kasturi Etukuru, MD, is a medicare enrolled "Internal Medicine" physician in Staten Island, New York. She graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Rwjbh Emergency Medicine Associates, Llc, Plover Inpatient Services Llc and her current practice location is 355 Bard Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 818-2526.

Dr Kasturi Etukuru is licensed to practice in New Jersey (license number 25MA08605300) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912117300.

Contact Information

Dr Kasturi Etukuru, MD,
355 Bard Ave,
Staten Island, NY 10310-1664
(718) 818-2526
Not Available

Map and Direction




Physician's Profile

Full NameDr Kasturi Etukuru
GenderFemale
SpecialityInternal Medicine
Experience25 Years
Location355 Bard Ave, Staten Island, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kasturi Etukuru graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1912117300
  • Provider Enumeration Date: 05/23/2007
  • Last Update Date: 04/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870688609
  • Enrollment ID: I20151023001552

Medical Identifiers

Medical identifiers for Dr Kasturi Etukuru such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912117300NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 244886 (New York)Secondary
207R00000XInternal Medicine 25MA08605300 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Meridian HospiceNeptune, NJHospice
Southern Ocean Medical CenterManahawkin, NJHospital
Community Medical CenterToms river, NJHospital
Jfk Medical CenterEdison, NJHospital
Seacrest VillageLittle egg harbor tw, NJNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rwjbh Emergency Medicine Associates, Llc0941612840627
Plover Inpatient Services Llc1355561663125

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. Dr Kasturi Etukuru allows following entities to bill medicare on her behalf.
Entity NamePlover Inpatient Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134534688
PECOS PAC ID: 1355561663
Enrollment ID: O20141009001113
Entity NameRwjbh Observation Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760095806
PECOS PAC ID: 5193137503
Enrollment ID: O20201209000008
Entity NameRwjbh Emergency Medicine Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912510041
PECOS PAC ID: 0941612840
Enrollment ID: O20201217002547
Entity NameEtukuru Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780449868
PECOS PAC ID: 0941647903
Enrollment ID: O20240326002491

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 Kasturi Etukuru 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
Dr Kasturi Etukuru, MD,
355 Bard Ave, Apt#6g,
Staten Island, NY 10310-1664

Ph: (718) 701-0043		Dr Kasturi Etukuru, MD,
355 Bard Ave,
Staten Island, NY 10310-1664

Ph: (718) 818-2526

Reviews and Comments


Internal Medicine Doctors in Staten Island, NY

Liliane Sarkis Deeb, M.D.
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Deepak Vadada, MD
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Dr. Samantha Maria Lee, MD
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Dr. Gustave Stephen Drivas, M.D.,
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Practice Location: 5405 Hylan Blvd, Staten Island, NY 10312
Phone: 718-948-3890    Fax: 718-948-3961
Dr. Beatrice Nogueira, MD
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Medicare: Medicare Enrolled
Practice Location: 475 Seaview Ave, Staten Island, NY 10305
Phone: 718-226-6902    Fax: 718-226-6844

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.