Ronny Kafiluddi, M.D., PHD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

256491 Issued in NY

Practice address

711 Troy Schenectady Rd Ste 202
Latham, NY 12110-2461

Phone

(518) 782-3938

Fax

(518) 782-3995

NPI assigned

Mar 24, 2006

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

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

Pain ManagementAlso: Anesthesiology

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Koumanis Medical PLLCGroup PAC ID 5799226197, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ronnykafiluddimd@adktotalcare.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Koumanis Medical, PLLC

  • Plastic Surgery Physician
  • Queensbury, NY
  • NPI 1558192211
  Medicare reassignment Care Compare group NPD
• Medical Pain Management Services, PLLC

  dba The Albany Center for Pain Mgmt

  • Pain Medicine (Anesthesiology) Physician
  • Albany, NY
  • NPI 1215981261
  Medicare reassignment NPD
• Advanced Pain Control Center, PC

  • Pain Medicine Physician
  • Davenport, IA
  • NPI 1720048564
  NPD (past) Authorized official
• Sand Creek Medical PC

  • Specialist
  • Albany, NY
  • NPI 1275624900
  NPD (past)
• Anesthesia & Analgesia PC

  • Anesthesiology Physician
  • Davenport, IA
  • NPI 1558306381

  Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1679533400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-782-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 202",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-782-3938",
            "fax_number": "518-782-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFILUDDI",
        "first_name": "RONNY",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "256491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie A Jones, N.P.
• Saphire Jones
• Joseph a Bova Chiropractor PC (Bova Health and Wellness)
• Jennifer E. Judge, PSY.D,
• Harlan Richard Juster, PH.D.
• Diana Kakaty, SLP
• Michael John Kane, DDS
• Sujata R Kane, PA-C
• Kansas Eye Surgery Associates, P.C.
• Kansas Eye Surgery Associates, P.C.

• Pain Medicine Physician in Latham, NY
• Providers in Latham, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.