Bangaruraju Kolanuvada, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

228890 Issued in NY

Practice address

970 N Broadway
Ste 206
Yonkers, NY 10701-1310

Phone

(914) 969-7100

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of Westchester Hospice, White Plains, NY, CCN 331520
• White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
• Montefiore Mount Vernon Hospital Hospital, Mount Vernon, NY, CCN 330086
• St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208
• St Cabrini Nursing Home Nursing home, Dobbs Ferry, NY, CCN 335383

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• Cabrini of Westchester

  • Skilled Nursing Facility
  • Dobbs Ferry, NY
  • NPI 1376523183
  NPD (past)

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

• Cabrini of Westchester

  • Skilled Nursing Facility
  • Dobbs Ferry, NY
  • NPI 1376523183

  Nursing home

  Care Compare affiliation
• Hospice-VNSW WPHC, Inc.

  • Community Based Hospice Care Agency
  • White Plains, NY
  • NPI 1831277227
  Care Compare affiliation
• Montefiore Mount Vernon Hospital

  • General Acute Care Hospital
  • Mount Vernon, NY
  • NPI 1992131320
  Care Compare affiliation
• St. John'S Riverside Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1578526695
  Care Compare affiliation
• White Plains Hospital Medical Center

  • General Acute Care Hospital
  • White Plains, NY
  • NPI 1447255153
  Care Compare affiliation

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1689648545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOREST BLVD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021003",
            "telephone_number": "914-803-6429",
            "fax_number": "914-664-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N BROADWAY",
            "address_2": "STE 206",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011310",
            "telephone_number": "914-969-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLANUVADA",
        "first_name": "BANGARURAJU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "228890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02499383",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erwin Regin Generalao Ko, RPT
• Christine C Koch, COTA
• Denyse R Kofod, RPA-C
• Ruth Ann Kohake, RN
• Gina Kolaj
• Raymond Kolkmann
• Barbara Kollodge
• Sophia Madeline Koos, DDS
• Karolyn Christine Kopcza, DDS
• Svetlana Korchevsky

• Internal Medicine Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.