Ccmma Tx Pllc - Medicare Primary Care in New York, NY

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Ccmma Tx Pllc is a medicare enrolled primary clinic (Anesthesiology - Critical Care Medicine) in New York, New York. The current practice location for Ccmma Tx Pllc is 2 Park Ave Ste 2039, New York, New York. For appointments, you can reach them via phone at (845) 702-2711. The mailing address for Ccmma Tx Pllc is Po Box 631801, Cincinnati, Ohio and phone number is (845) 702-2711.

Ccmma Tx Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1841829819. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (845) 702-2711.

Contact Information

Ccmma Tx Pllc
2 Park Ave Ste 2039
New York
NY 10016-5675
(845) 702-2711
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCcmma Tx Pllc
SpecialityAnesthesiology
Location2 Park Ave Ste 2039, New York, New York
Authorized Official Name and PositionLaurie Laduca (MANAGER)
Authorized Official Contact8457022711
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ccmma Tx Pllc
Po Box 631801
Cincinnati
OH 45263-1801

Ph: (845) 702-2711		Ccmma Tx Pllc
2 Park Ave Ste 2039
New York
NY 10016-5675

Ph: (845) 702-2711

NPI Details:

NPI Number1841829819
Provider Enumeration Date04/02/2020
Last Update Date04/01/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6305275611
Medicare Enrollment IDO20200408002929

Medical Identifiers

Medical identifiers for Ccmma Tx Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841829819NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RC0200XInternal Medicine - Critical Care Medicine (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
2084A2900XPsychiatry & Neurology - Neurocritical Care (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
207LC0200XAnesthesiology - Critical Care Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ccmma Tx Pllc acts as a billing entity for following providers:
Provider NameHoward Neal Reynolds
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1811975006
PECOS PAC ID: 8224058789
Enrollment ID: I20061117000219
Provider NameGul Khan
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1891942819
PECOS PAC ID: 4385606888
Enrollment ID: I20100728000887
Provider NameRonny Tschokonte
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1659571883
PECOS PAC ID: 5395909956
Enrollment ID: I20140820001872
Provider NameHiba El-qaddoumi
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1740560705
PECOS PAC ID: 2365664554
Enrollment ID: I20141208000914
Provider NameLloyd C Meeks
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1801094156
PECOS PAC ID: 5799957403
Enrollment ID: I20160123000063
Provider NameSuchitra Pilli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750649844
PECOS PAC ID: 1153681937
Enrollment ID: I20180216001288
Provider NameJohn C Depetrillo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013127562
PECOS PAC ID: 7618146283
Enrollment ID: I20200408003413
Provider NameMario V Fusaro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538486550
PECOS PAC ID: 0749402808
Enrollment ID: I20200408003563
Provider NameJonathan B Ramharack
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013234517
PECOS PAC ID: 9133243967
Enrollment ID: I20200617002519
Provider NameKonstantin Millerman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679520472
PECOS PAC ID: 0446233761
Enrollment ID: I20200709003149
Provider NameMuhammad A Raza
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881661593
PECOS PAC ID: 5496784688
Enrollment ID: I20200730000492
Provider NameJeneen M Gifford
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1740340454
PECOS PAC ID: 3476785403
Enrollment ID: I20210201000584
Provider NameMatthew Byrnes
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1063545317
PECOS PAC ID: 9739280603
Enrollment ID: I20210929000594
Provider NameMurad Baba
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750757209
PECOS PAC ID: 5092001610
Enrollment ID: I20220629003195
Provider NameKarthik Vadamalai
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1366881393
PECOS PAC ID: 3173810504
Enrollment ID: I20220726002847
Provider NameDivya Sreeramoju
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1134516784
PECOS PAC ID: 7416292990
Enrollment ID: I20221028000805
Provider NameHeemesh D Seth
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1548421514
PECOS PAC ID: 2264608595
Enrollment ID: I20221129000769
Provider NameCarlos Rodrigo Franco-palacios
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1497966600
PECOS PAC ID: 5890841316
Enrollment ID: I20221129003482
Provider NameNabil Mesiha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932512175
PECOS PAC ID: 2062759244
Enrollment ID: I20221129003580
Provider NameWilliam S Sageman
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1417957168
PECOS PAC ID: 7719935709
Enrollment ID: I20221130000487
Provider NameDanielle Denise Spragan
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1114218336
PECOS PAC ID: 8224361142
Enrollment ID: I20221130000722
Provider NameD'artagnan Debow
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1942568639
PECOS PAC ID: 0042581431
Enrollment ID: I20221130002068
Provider NameAnisha Mathur
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770928194
PECOS PAC ID: 5193157287
Enrollment ID: I20221201000343
Provider NamePang Lam
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1639497183
PECOS PAC ID: 6901119262
Enrollment ID: I20221206000575
Provider NamePavan Ganapathiraju
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1023469988
PECOS PAC ID: 0244618742
Enrollment ID: I20230127000963
Provider NameArthur Weinstock
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1487629234
PECOS PAC ID: 2365448404
Enrollment ID: I20230209000194
Provider NameJonathan Puchalski
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1215909072
PECOS PAC ID: 4789693706
Enrollment ID: I20230213001969
Provider NameLearned Gonzales
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1083607428
PECOS PAC ID: 3779529243
Enrollment ID: I20230221003117
Provider NameAbdullah Hasan Alzahrani
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1750681581
PECOS PAC ID: 9436442951
Enrollment ID: I20230327001249
Provider NameNeel S Desai
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1083952436
PECOS PAC ID: 2668607524
Enrollment ID: I20230724001924
Provider NameBarnett Nathan
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1194894725
PECOS PAC ID: 8224046370
Enrollment ID: I20230823000977
Provider NameJeanpierre El Khoury
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1003174707
PECOS PAC ID: 2466769823
Enrollment ID: I20230922003837
Provider NameFederico Gorostiaga
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1619170123
PECOS PAC ID: 5193826634
Enrollment ID: I20231027001347
Provider NameSyed Mehdi Jafri
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1649558230
PECOS PAC ID: 9436382108
Enrollment ID: I20231205001073
Provider NamePayam Pooyan
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1841254265
PECOS PAC ID: 4981674983
Enrollment ID: I20231215002210
Provider NamePei-chin Hsieh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801927876
PECOS PAC ID: 5890855290
Enrollment ID: I20240213002771
Provider NameAndleeb S Bangash
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003093824
PECOS PAC ID: 8729277157
Enrollment ID: I20240229001547
Provider NameDaniel Wardlaw Burke
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1427376292
PECOS PAC ID: 5092005504
Enrollment ID: I20240229002236
Provider NameHill Ambrose Enuh
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1841547692
PECOS PAC ID: 6103128095
Enrollment ID: I20240311002080
Provider NameTalha Ahmad Idrees
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1962634592
PECOS PAC ID: 3971815242
Enrollment ID: I20240404000329
Provider NameIda Lourdes Mazza
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1518953850
PECOS PAC ID: 8628018140
Enrollment ID: I20240410001171
Provider NameMohamed Hassan Mohamed Anis Abou El Fadl
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780831628
PECOS PAC ID: 4183889264
Enrollment ID: I20240416000998
Provider NameKenneth Kalassian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700897048
PECOS PAC ID: 3173417292
Enrollment ID: I20240418004292
Provider NameMasood Ahmad
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1073069332
PECOS PAC ID: 9830486174
Enrollment ID: I20240531001055
Provider NameQaiser Shafiq
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1225294168
PECOS PAC ID: 8527206937
Enrollment ID: I20240603004149
Provider NameDavid Sosa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760801799
PECOS PAC ID: 8022237858
Enrollment ID: I20240604000667
Provider NameAlin Gragossian
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962852301
PECOS PAC ID: 3870822331
Enrollment ID: I20240604001763
Provider NameKirmanj Faraj
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1376830125
PECOS PAC ID: 3173823002
Enrollment ID: I20240606000636
Provider NameAshley Marie Robertson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578900858
PECOS PAC ID: 2668790940
Enrollment ID: I20240719000559
Provider NameAmos Barron Lichtman
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1801258389
PECOS PAC ID: 4385998475
Enrollment ID: I20240820004381
Provider NameJohn Unterborn
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1548363518
PECOS PAC ID: 5991747479
Enrollment ID: I20241217002112
Provider NameJennifer Gastelum
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1326381161
PECOS PAC ID: 1355658584
Enrollment ID: I20241218000137
Provider NameChibuzo Clement Odigwe
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1235570375
PECOS PAC ID: 1850625278
Enrollment ID: I20250312001947

Reviews and Comments


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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.