Mani Chaitanya Akunuri, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Summit, NJ
NPI 1154090025 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1154090025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 99 Beauvoir Ave
Summit, NJ 07901-3533 - Phone
- (305) 542-5759
- NPI assigned
- Sep 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241031004100 | VA | Order and Referring Only - Pulmonary Disease |
7012440803 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
99 Beauvoir Ave
Summit, NJ 07901-3533
Mailing address
99 Beauvoir Ave
Summit, NJ 07901-3533
Other providers in Summit, NJ
- Ahs Hospital Corp.
- Ahs Hospital Corp.
- Ahs Hospital Corp.
- Robert Dennis Aiken
- Ashton P Ainsworth
- Abu S Alam
- Loba B Alam
- Rozana Rab Alam
- Shannon Albarelli
- Sheila Albelda
All providers in Summit, NJ · Student in an Organized Health Care Education/Training Program in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.