Active NPI
Praveen Anumula, M.D.
- Hospitalist Physician
- Schenectady, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 002935
- Practice address
- 1101 Nott St
Schenectady, NY 12308-2425 - Phone
- (518) 243-4135
- Fax
- (518) 243-1367
- NPI assigned
- Sep 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N3450 | TX | |
| Hospitalist Physician | 208M00000X | 002935 | NY | Primary |
Addresses
Primary practice location
1101 Nott St
Schenectady, NY 12308-2425
Mailing address
1101 Nott St
Schenectady, NY 12308-2425
Phone (518) 243-4135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002935 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090806000290 | TX | Practitioner - Internal Medicine | 4789764382 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Medicine Services of TX, PLLC
Practice addresses (Care Compare)
1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000
12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 757-7000
7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000
Hospital & facility affiliations
- Methodist Hospital
- Methodist Hospital Stone Oak
- Methodist Hospital Northeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002935 | NY | MD | Mental Health Counselor |
| N3450 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of TX, PLLC | Hospitalist | Current | Accepting new patients |
| Sterling Emergency Services of the Southeast, Inc | Past | Accepting new patients | |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients |
Locations
12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444
12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1881392363
Hospitalist, TX
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- Emergency Medicine Physician
- Salisbury, NC
- NPI 1770541245
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
Hospital
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
Hospital
-
- Rehabilitation Hospital Unit
- San Antonio, TX
- NPI 1134166069
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
Hospital
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1114112190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 NOTT ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082425",
"telephone_number": "518-243-4135",
"fax_number": "518-243-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 NOTT ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082425",
"telephone_number": "518-243-4135",
"fax_number": "518-243-1367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANUMULA",
"first_name": "PRAVEEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-12",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N3450",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "002935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "002935",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.