Pawan Gundavaram, - Medicare Internal Medicine in Roselle, NJ

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Pawan Gundavaram, is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Roselle, New Jersey. His current practice location is 776 E 3rd Ave, Roselle, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 259-8817.

Pawan Gundavaram is licensed to practice in New Jersey (license number MA2509079300) 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 1174717300.

Contact Information

Pawan Gundavaram,
776 E 3rd Ave,
Roselle, NJ 07203-1698
(908) 259-8817
(908) 259-8846

Map and Direction




Physician's Profile

Full NamePawan Gundavaram
GenderMale
SpecialityInternal Medicine - Hematology & Oncology
Location776 E 3rd Ave, Roselle, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174717300
  • Provider Enumeration Date: 08/30/2007
  • Last Update Date: 02/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9537232020
  • Enrollment ID: I20140417000799

Medical Identifiers

Medical identifiers for Pawan Gundavaram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174717300NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology MA2509079300 (New Jersey)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. Pawan Gundavaram allows following entities to bill medicare on his behalf.
Entity NameBarnabas Health Medical Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447206420
PECOS PAC ID: 0648172809
Enrollment ID: O20040127000361
Entity NameNew Jersey Cancer Care, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447315502
PECOS PAC ID: 3971603788
Enrollment ID: O20070710000160
Entity NameColfax Oncology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649225525
PECOS PAC ID: 4981781010
Enrollment ID: O20080414000283
Entity NameFastmed Of Nj Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942691100
PECOS PAC ID: 7113232240
Enrollment ID: O20150818004869

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. Pawan Gundavaram 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
Pawan Gundavaram,
1 Clara Maass Dr Ste 200,
Belleville, NJ 07109-3550

Ph: (973) 751-8880		Pawan Gundavaram,
776 E 3rd Ave,
Roselle, NJ 07203-1698

Ph: (908) 259-8817

Reviews and Comments


Internal Medicine Doctors in Roselle, NJ

Dr. Anjali Viswanathan, MD
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 815 Baltimore Ave, Roselle, NJ 07203
Phone: 908-245-3446    Fax: 908-245-5868
Peter Lenchur, MD PHD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 776 E 3rd Ave, Roselle, NJ 07203
Phone: 908-241-5545    Fax: 908-241-5548
Mrs. Ruby Saluja, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 221 Chestnut St, Suite 201, Roselle, NJ 07203
Phone: 908-241-7922    Fax: 908-241-8619
Dr. Anise A Kachadourian, MD
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 776 E 3rd Ave, Roselle, NJ 07203
Phone: 908-259-8817    Fax: 908-259-8846

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.