Dr Siva K Kolupoti, MD in Port Jefferson Station, NY

Dr Siva K Kolupoti, MD is a medicare enrolled "Internal Medicine" physician in Port Jefferson Station, New York. His current practice location is 2 Medical Dr, Suite D, Port Jefferson Station, New York. You can reach out to his office (for appointments etc.) via phone at (631) 331-5010.

Dr Siva K Kolupoti is licensed to practice in New York (license number 200333) 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 1609809102.

Contact Information

	Dr Siva K Kolupoti, MD
	2 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1598
	(631) 331-5010
	(631) 331-5017

Map and Direction

Physician's Profile

Full Name	Dr Siva K Kolupoti
Gender	Male
Speciality	Internal Medicine
Location	2 Medical Dr, Port Jefferson Station, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609809102
Provider Enumeration Date: 07/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6800854647
Enrollment ID: I20041228000297

Medical Identifiers

Medical identifiers for Dr Siva K Kolupoti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609809102	NPI	-	NPPES
01585148	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	200333 (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. Dr Siva K Kolupoti allows following entities to bill medicare on his behalf.

Entity Name	Southwest Suffolk Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104096049 PECOS PAC ID: 0244396349 Enrollment ID: O20090225000297

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 Siva K Kolupoti 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 Siva K Kolupoti, MD 2 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1598 Ph: (631) 331-5010	Dr Siva K Kolupoti, MD 2 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1598 Ph: (631) 331-5010

Reviews and Comments

Internal Medicine Doctors in Port Jefferson Station, NY

Dr. Michael W Mendelson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5360 Nesconset Hghy, Suite B, Port Jefferson Station, NY 11776 Phone: 631-331-3200 Fax: 631-331-3694
Matias M Dcosta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7200 Fax: 631-331-8636
Kinjal Amit Gosalia, STUDENT Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-758-7003 Fax: 631-751-0506
Zarlasht Khan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112, Port Jefferson Station, NY 11776 Phone: 631-743-6840
Anil Sangwan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 Fax: 631-473-4427
Anish Desai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-978-7633 Fax: 631-621-4119
Peter Ottavio, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-978-7633 Fax: 631-621-4115

Dr Siva K Kolupoti, MD - Medicare Internal Medicine in Port Jefferson Station, NY