Mayura Reddy Kesara, MBBS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

45 Reade Place
Vassar Brothers Medical Center
Poughkeepsie, NY 12601-3990

Phone

(845) 790-1312

NPI assigned

May 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1396480430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 READE PLACE",
            "address_2": "VASSAR BROTHERS MEDICAL CENTER",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013990",
            "telephone_number": "845-790-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 READE PLACE",
            "address_2": "VASSAR BROTHERS MEDICAL CENTER",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013990",
            "telephone_number": "845-790-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESARA",
        "first_name": "MAYURA",
        "middle_name": "REDDY",
        "name_prefix": "Ms.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kerr, MHC
• Dena Ann Kerr, D.C.
• Kelly Kerr
• Rhona Kerr
• Kandice D Kershaw
• Stephanie Kessler, MSW
• Addie J Ketchum, MS, CCC-SLP
• Laurie Keuroghilian
• Jeffrey Kezis, M.D.
• Yasaman Khademi Rad, MD

• Student in an Organized Health Care Education/Training Program in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.