| Ms Sanghamitra Kodukula, RN, BSN, MSN | |
|
1275 York Ave, New York, NY 10065-6007 | |
| (212) 639-6840 | |
| Not Available |
| Full Name | Ms Sanghamitra Kodukula |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 1275 York Ave, New York, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679887954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WN0800X | Registered Nurse - Neuroscience | 551691 (New York) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 551691 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Metrowest Medical Center | Framingham, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icon Anesthesia Services Of New England Llc | 2668732041 | 51 |
| Metrowest Anesthesia Associates Llc | 8224397351 | 17 |
| Entity Name | Metrowest Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104339902 PECOS PAC ID: 8224397351 Enrollment ID: O20180118001957 |
| Entity Name | Icon Anesthesia Services Of New England Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629583323 PECOS PAC ID: 2668732041 Enrollment ID: O20180202001023 |
| Entity Name | Tri Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275331761 PECOS PAC ID: 2062931215 Enrollment ID: O20250521002326 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sanghamitra Kodukula, RN, BSN, MSN 1275 York Ave, New York, NY 10065-6007 Ph: () - | Ms Sanghamitra Kodukula, RN, BSN, MSN 1275 York Ave, New York, NY 10065-6007 Ph: (212) 639-6840 |
Kurt Belen, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 170 William St, New York, NY 10038 Phone: 313-410-1988 | |
Steven Winnett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 525 E 68th St, New York, NY 10065 Phone: 212-746-2962 | |
Egbert Clayton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1275 York Ave, New York, NY 10021 Phone: 646-227-3813 | |
Nora Zmuidins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1275 York Ave, New York, NY 10021 Phone: 646-227-3813 | |
Ms. Lynn Ann Reilly, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 525 E 68th St, New York, NY 10065 Phone: 212-746-2959 | |
Lauren Peiffer Selame, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1275 York Ave, New York, NY 10065 Phone: 212-639-2000 | |
Sung Min Park, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5072 |