Individual provider Active NPI

Pavithra Kakumanu, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1740487289
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD047996 Issued in DC
Practice address
126 5TH Ave FL 2
New York, NY 10011-5631
Phone
(646) 880-4465
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 241909 NY
Internal Medicine Physician 207R00000X MD047996 DC Primary

Addresses

Primary practice location

126 5TH Ave FL 2
New York, NY 10011-5631

Mailing address

126 5TH Ave FL 2
New York, NY 10011-5631
Phone (646) 880-4465

Other identifiers 2

IdentifierTypeStateIssuer
241909OtherNYLICENSE
MD047996OtherDCDC MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 11, 2025 through Apr 11, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD047996DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parsley Medical PC Past Accepting new patients
Cloud Health Medical Group, P.a. Internal Medicine Past Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Internal Medicine Past Accepting new patients
Cloud Health Medical Group of California, P.C. Internal Medicine Past Accepting new patients
New York Downtown Medical Associates Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pavithra.kakumanumd.p2@direct.msmg.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1740487289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115631",
            "telephone_number": "646-880-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115631",
            "telephone_number": "646-880-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKUMANU",
        "first_name": "PAVITHRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241909",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD047996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "241909",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC MEDICAL LICENSE",
            "identifier": "MD047996",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.