Sareth Pinnamaneni, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

NYS194215 Issued in NY

Practice address

1500 Ocean Ave Ste C
Bohemia, NY 11716-1924

Phone

(631) 589-7787

NPI assigned

Mar 21, 2007

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

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Family Practice

Education

Other, 1972

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
• Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
• Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• A.P. New York Comprehensive Medical Care PC

  • Internal Medicine Physician
  • Smithtown, NY
  • NPI 1992249346
  NPD (past)
• Medihealth Medical PC

  • Neurology Physician
  • Patchogue, NY
  • NPI 1811199151
  NPD (past)
• New Wave Cardiology PLLC

  • Specialist
  • Oakdale, NY
  • NPI 1013359561
  NPD (past)
• South Island Medical Associates PC

  • Adult Medicine Physician
  • Far Rockaway, NY
  • NPI 1386702165
  NPD (past)
• University Associates in Obstetrics & Gynecology, University Faculty P

  • Obstetrics & Gynecology Physician
  • Stony Brook, NY
  • NPI 1538114723
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Suffolk Hospital

  • Home Health Agency
  • Riverhead, NY
  • NPI 1932155678
  Care Compare affiliation
• Nursing Sisters Home Care, Inc.

  • Home Health Agency
  • Farmingdale, NY
  • NPI 1780670711
  Care Compare affiliation
• Tender Loving Care Health Care Services of Nassau Suffolk, LLC

  • Home Health Agency
  • Medford, NY
  • NPI 1699715961
  Care Compare affiliation

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1598881526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 YUKON CT",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474162",
            "telephone_number": "631-643-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OCEAN AVE STE C",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161924",
            "telephone_number": "631-589-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNAMANENI",
        "first_name": "SARETH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "NYS194215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "102830",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "194215 AIO",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5997959",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "174920P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "043706821",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUECROSS",
            "identifier": "043706821",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "043706821",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC HMO",
            "identifier": "515731",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREATWESTERN",
            "identifier": "04370684",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE PPO-EPO",
            "identifier": "32BJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "393484-006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P-2712164",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoenix Transport Corporation Dba
• Amanda Kristine Phua
• Melissa April Picone, M.A
• Jennifer Ann Pierce
• Pilip Medical Care
• Joanne Pisani, LMHC, ED.D.
• Emily Podlaski
• Precision Diagnostic Imaging Inc
• Jasming Price, PSY.D
• Proactive Care Physical Therapy, PC

• Family Medicine Physician in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.

Verify at the official NPI Registry.