Individual provider Active NPI

Rajkumar Shivraj Pammal, MD

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1154024727
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
344869 Issued in NY
Practice address
250 W 57TH St FL 15
New York, NY 10107-1307
Phone
(212) 636-3375
NPI assigned
Mar 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 344869 NY Primary

Addresses

Primary practice location

250 W 57TH St FL 15
New York, NY 10107-1307

Mailing address

250 W 57TH St FL 15
New York, NY 10107-1307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York Medical College, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 E 42ND Street 5TH Floor
New York, NY 10017-5669

150 E 42ND Street 9TH Floor
New York, NY 10017-5669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1154024727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 57TH ST FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101071307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 57TH ST FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101071307",
            "telephone_number": "212-636-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMMAL",
        "first_name": "RAJKUMAR",
        "middle_name": "SHIVRAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-23",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "344869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.