Individual provider Active NPI

Pratyusha Nunna, MBBS

  • Internal Medicine Physician
  • Williamson, NY
National Provider Identifier
1710530738
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
W1864 Issued in TX
Practice address
4418 Ridge Rd Ste 1
Williamson, NY 14589-9306
Phone
(315) 589-4641
NPI assigned
Jul 18, 2019
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X W1864 TX Primary
Internal Medicine Physician 207R00000X 318081 NY

Addresses

Primary practice location

4418 Ridge Rd Ste 1
Williamson, NY 14589-9306

Mailing address

4418 Ridge Rd
Williamson, NY 14589-9306
Phone (315) 589-4641

Other practice location 1

701 E Fm 1626 Ste 100
Austin, TX 78748-6075
Phone (855) 481-8375

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pnunna286277@direct.urmc.rochester.edu Direct
Direct Messaging Address pnunna286277@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221004003209 NY Practitioner - Internal Medicine 1557691177 Reassigns benefits to 1 organization
I20260219002082 TX Practitioner - Internal Medicine 1557691177 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers of South Central Texas PLLCGroup PAC ID 7911337472, 27 clinicians
Strong Medical GroupGroup PAC ID 6608850987, 48 clinicians
Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

2525 W Anderson LN
Austin, TX 78757-1180
Phone (512) 988-5355

4418 Ridge Rd
Suite 1
Williamson, NY 14589-9306
Phone (315) 589-4641

701 E FM
1626 Suite 100
Austin, TX 78748-6075
Phone (855) 481-8375

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
W1864TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Internal Medicine CurrentSince Feb 11, 2026 Accepting new patients
Strong Medical Group Internal Medicine CurrentSince Sep 17, 2022 Accepting new patients
Scott & White Clinic Internal Medicine CurrentSince Feb 11, 2026 Accepting new patients

Locations

3669 Countryside Ln
Marion, NY 14505
Phone (315) 926-7733

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#320
Rochester, NY 14642

4418 Ridge Rd
Williamson, NY 14589
Phone (315) 589-4641

4418 Ridge Rd
Ste 1
Williamson, NY 14589
Phone (315) 589-4641

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

Interoperability endpoints

  • Direct secure messaging: pnunna286277@direct.urmc.rochester.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1710530738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 RIDGE RD",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "145899306",
            "telephone_number": "315-589-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 RIDGE RD STE 1",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "145899306",
            "telephone_number": "315-589-4641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 E Fm 1626 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787486075",
            "country_code": "US",
            "telephone_number": "855-481-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNNA",
        "first_name": "PRATYUSHA",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "W1864",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "318081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pnunna286277@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pnunna286277@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamson, NY

Sources for this page

Verify at the official NPI Registry.