Anantapur Panduranga, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

147572-1 Issued in NY

Practice address

26 Center Cir
Wassaic, NY 12592-2637

Phone

(845) 877-6821

Fax

(845) 877-9702

NPI assigned

Feb 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598804171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 QUAIL RIDGE RD",
            "city": "GAYLORDSVILLE",
            "state": "CT",
            "postal_code": "067551203",
            "telephone_number": "860-354-2436",
            "fax_number": "845-877-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CENTER CIR",
            "city": "WASSAIC",
            "state": "NY",
            "postal_code": "125922637",
            "telephone_number": "845-877-6821",
            "fax_number": "845-877-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDURANGA",
        "first_name": "ANANTAPUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "147572-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Ann Epstein, LMSW
• Constanza Giraldo
• New York State
• New York State
• Nys Omrdd Taconic Ddso (NeighborCare-Taconic)
• Donna Jean Pasternak, RPA
• Jennifer Prater
• Julia Pursley
• Christina M Spano-Ruggiero, PSY.D.
• State of New York

• General Practice Physician in Wassaic, NY
• Providers in Wassaic, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.