Prathima Kanumuri, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

256886 Issued in NY

Practice address

2210 Troy Schenectady Rd
Niskayuna, NY 12309-4725

Phone

(518) 612-8560

Fax

(518) 612-8561

NPI assigned

Aug 7, 2007

Last updated

Mar 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993
  Medicare reassignment NPD

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1811188659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST",
            "address_2": "SUITE 103",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-612-8560",
            "fax_number": "518-612-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 TROY SCHENECTADY RD",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123094725",
            "telephone_number": "518-612-8560",
            "fax_number": "518-612-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANUMURI",
        "first_name": "PRATHIMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "256886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04227556",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen C Johnson
• Jeena Joseph
• Sanjeevani S Joshi, MS, CCC-SLP
• Douglas Kabat, LCSW
• Carol B. Kahn, COTA
• Luke Kellish
• Khushru Irani
• Joung Kim, MD
• Bernard P Kinlan, LCSW
• Karen J Kirchner, MD, MPH

• Surgery Physician in Niskayuna, NY
• Providers in Niskayuna, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.