Nishanth Reddy Pundru, MD - Medicare Internal Medicine in Providence, RI

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Nishanth Reddy Pundru, MD is a medicare enrolled "Internal Medicine" physician in Providence, Rhode Island. He graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Galen Inpatient Physicians Pc, Prime Healthcare Services Landmark Llc, Lifespan Physician Group Inc, Hospital Medicine Associates Llc, Brown Emergency Medicine and his current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-3985.

Nishanth Reddy Pundru is licensed to practice in Rhode Island (license number MD15768) 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 1205241288.

Contact Information

Nishanth Reddy Pundru, MD
593 Eddy St,
Providence, RI 02903-4923
(401) 444-3985
(401) 444-3986

Map and Direction




Physician's Profile

Full NameNishanth Reddy Pundru
GenderMale
SpecialityInternal Medicine
Experience13 Years
Location593 Eddy St, Providence, Rhode Island
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:
  • Nishanth Reddy Pundru graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1205241288
  • Provider Enumeration Date: 06/27/2014
  • Last Update Date: 07/28/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5395022644
  • Enrollment ID: I20180529002018

Medical Identifiers

Medical identifiers for Nishanth Reddy Pundru such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205241288NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD15768 (Rhode Island)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rhode Island HospitalProvidence, RIHospital
Landmark Medical CenterWoonsocket, RIHospital
Westerly HospitalWesterly, RIHospital
Johnson Memorial HospitalStafford springs, CTHospital
Saint Francis Hospital & Medical CenterHartford, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Galen Inpatient Physicians Pc36784646331045
Prime Healthcare Services Landmark Llc327476106948
Lifespan Physician Group Inc25674550821151
Hospital Medicine Associates Llc9234156985208
Brown Emergency Medicine7214833169140

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. Nishanth Reddy Pundru allows following entities to bill medicare on his behalf.
Entity NameTrinity Health of New England Provider Network Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003882812
PECOS PAC ID: 0941113567
Enrollment ID: O20031110000651
Entity NameProspect Ct Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144677568
PECOS PAC ID: 7416244496
Enrollment ID: O20160919001322
Entity NameGalen Inpatient Physicians PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285439703
PECOS PAC ID: 3678464633
Enrollment ID: O20250319001824

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. Nishanth Reddy Pundru 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
Nishanth Reddy Pundru, MD
125 Whipple St Ste 3,
Providence, RI 02908-3258

Ph: (401) 519-0330		Nishanth Reddy Pundru, MD
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-3985

Reviews and Comments


Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    Fax: 401-453-7597
Martha Catherine Trimbur, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 245 Chapman St Ste 300, Providence, RI 02905
Phone: 401-444-4741    Fax: 401-444-4445
Karl Herman, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Muhammad Baig, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Gary M Katzman, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904
Phone: 401-793-7191    Fax: 401-793-7200
Dr. Todd F Roberts, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 401-456-6565    Fax: 401-456-6793
Thomas Fairweather Crain, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 401-793-4630    

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.