Dr Kingsley Prakash Anand Pudota, MD - Medicare Hospitalist in Charleston, WV

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Dr Kingsley Prakash Anand Pudota, MD is a medicare enrolled "Hospitalist" physician in Charleston, West Virginia. He graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Rex Hospital Inc, Moses Cone Physician Services, Inc and his current practice location is 3110 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-5590.

Dr Kingsley Prakash Anand Pudota is licensed to practice in North Carolina (license number 2015-02195) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942594924.

Contact Information

Dr Kingsley Prakash Anand Pudota, MD
3110 Maccorkle Ave Se,
Charleston, WV 25304-1210
(304) 388-5590
(304) 388-8238

Map and Direction




Physician's Profile

Full NameDr Kingsley Prakash Anand Pudota
GenderMale
SpecialityHospitalist
Experience24 Years
Location3110 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kingsley Prakash Anand Pudota graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1942594924
  • Provider Enumeration Date: 06/07/2011
  • Last Update Date: 09/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6103078993
  • Enrollment ID: I20170728003160

Medical Identifiers

Medical identifiers for Dr Kingsley Prakash Anand Pudota such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942594924NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0101256996 (Virginia)Secondary
208M00000XHospitalist 2015-02195 (North Carolina)Primary
207R00000XInternal Medicine 2015-02195 (North Carolina)Secondary
207R00000XInternal Medicine 25957 (West Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johnston HealthSmithfield, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rex Hospital Inc0840109864673
Moses Cone Physician Services, Inc4284782210335

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 Kingsley Prakash Anand Pudota allows following entities to bill medicare on his behalf.
Entity NameCogent Healthcare Of North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548207483
PECOS PAC ID: 7911954714
Enrollment ID: O20050404001057
Entity NameVidant Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445
Entity NameMoses Cone Physician Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093953127
PECOS PAC ID: 4284782210
Enrollment ID: O20090501000202
Entity NameSelect Specialty Hospital - Greensboro Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912205113
PECOS PAC ID: 7810049335
Enrollment ID: O20101223000116
Entity NameApogee Medical Group North Carolina
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043518228
PECOS PAC ID: 7719162254
Enrollment ID: O20110427000840
Entity NameRex Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144248683
PECOS PAC ID: 0840109864
Enrollment ID: O20140613001181

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 Kingsley Prakash Anand Pudota 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 Kingsley Prakash Anand Pudota, MD
3110 Maccorkle Ave Se,
Charleston, WV 25304-1210

Ph: (304) 388-5590		Dr Kingsley Prakash Anand Pudota, MD
3110 Maccorkle Ave Se,
Charleston, WV 25304-1210

Ph: (304) 388-5590

Reviews and Comments


Hospitalist Doctors in Charleston, WV

Dr. Andrew D. Myers, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Robert C. Byrd Clinical Training Center, 4th Floor, Charleston, WV 25304
Phone: 304-388-5590    Fax: 304-388-8238
Dr. Mouhammed Aiman Sakkal, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinical Training Center, Charleston, WV 25304
Phone: 304-388-5590    Fax: 304-388-8238
Dr. Khawaja Owais Omar, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Maccorkle Ave Se Ste 700, Charleston, WV 25304
Phone: 304-720-7305    
Dr. Amanda C. Shuff, DO
Hospitalist
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Maccorkle Ave Se, Suite B16, Charleston, WV 25304
Phone: 304-388-5848    Fax: 304-588-9654
Salman Shaukat, M.D
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Maccorkle Ave Se Ste B16, Charleston, WV 25304
Phone: 304-388-9612    Fax: 304-388-9654
Youmna Mousattat, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302
Phone: 304-388-2525    
Dr. Cynthia Elizabeth Collins Stump, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-5432    

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.