Active NPI
Pavithra Kakumanu, MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1740487289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD047996
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241909 | Other | NY | LICENSE |
| MD047996 | Other | DC | DC 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD047996 | DC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
-
- Internal Medicine Physician
- New York, NY
- NPI 1427095652
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1043995467
-
- General Practice Physician
- West Hollywood, CA
- NPI 1952973422
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.