Individual provider Active NPI

Kshamaya Badarinarayan Panchamukhi, M.D.

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1841524469
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME105527 Issued in FL
Practice address
4300 Alton Rd
Mount Sinai Medical Center, Dept of Internal Medicine
Miami Beach, FL 33140-2800
Phone
(305) 674-2413
Fax
(305) 674-2430
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME105527 FL Primary

Addresses

Primary practice location

4300 Alton Rd
Mount Sinai Medical Center, Dept of Internal Medicine
Miami Beach, FL 33140-2800

Mailing address

5838 Collins Ave Apt 8G
Miami Beach, FL 33140-2230
Phone (786) 423-4894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105527FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1841524469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 COLLINS AVE APT 8G",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402230",
            "telephone_number": "786-423-4894",
            "fax_number": "305-864-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "MOUNT SINAI MEDICAL CENTER, DEPT OF INTERNAL MEDICINE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402800",
            "telephone_number": "305-674-2413",
            "fax_number": "305-674-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAMUKHI",
        "first_name": "KSHAMAYA",
        "middle_name": "BADARINARAYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.