Active NPI
Ancy F Kunnumpurath, M.D.
- Internal Medicine Physician
- Cortland, NY
National Provider Identifier
1629396502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 204755-1
- Practice address
- 4038 West Rd
Cortland, NY 13045-1842 - Phone
- (607) 758-3008
- NPI assigned
- May 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 204755-1 | NY | Primary |
Addresses
Primary practice location
4038 West Rd
Cortland, NY 13045-1842
Mailing address
85 S West St
Homer, NY 13077-1542
Phone (607) 753-3797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01918881 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Homer | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carthage Area Hospital Inc
Practice addresses (Care Compare)
100 Horwood PL
Ogdensburg, NY 13669-4510
Phone (315) 394-9462
Hospital & facility affiliations
- Carthage Area Hospital, Inc
- Samaritan Medical Center
- Lewis County General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204755-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Carthage Area Hospital, Inc. | Current | Accepting new patients | |
| Carthage Area Hospital Inc. | Past | Accepting new patients |
Locations
1001 West St
Carthage, NY 13619
Phone (315) 493-1000
117 N Mechanic St
Carthage, NY 13619
Phone (315) 493-3100
Interoperability endpoints
- akunnumpurath@cahclinics.medentdirect.com
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Critical Access Hospital
- Carthage, NY
- NPI 1104234376
-
- Psychiatric Hospital
- Ogdensburg, NY
- NPI 1891753034
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ogdensburg, NY
- NPI 1013759166
-
- Primary Care Clinic/Center
- Harrisville, NY
- NPI 1578774451
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Critical Access Hospital
- Carthage, NY
- NPI 1104234376
-
- Rural Acute Care Hospital
- Lowville, NY
- NPI 1487689402
-
- Critical Access Hospital
- Lowville, NY
- NPI 1619390838
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1629396502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 S WEST ST",
"city": "HOMER",
"state": "NY",
"postal_code": "130771542",
"telephone_number": "607-753-3797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4038 WEST RD",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451842",
"telephone_number": "607-758-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNNUMPURATH",
"first_name": "ANCY",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-17",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "204755-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01918881",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Homer",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "4038 West Rd",
"city": "Cortland",
"state": "NY",
"country_code": "US",
"postal_code": "130451842",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.