ROY SUBASH KONDAPAVULURU MD
NPI 1003546565
Internal Medicine in Staten Island, NY

Q: What is Roy Kondapavuluru's NPI number?

The NPI number for Roy Kondapavuluru is 1003546565. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Q: What is Roy Kondapavuluru's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Roy Kondapavuluru was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2022PECOS EnrolledAccepts Medicare Assignment

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(615) 708-2623 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2025, Jun 24, 2025 (2 updates tracked since 2025).

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About Roy Subash Kondapavuluru Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROY SUBASH KONDAPAVULURU MD (NPI 1003546565) is an individual internal medicine provider in Staten Island, New York, licensed in New York (338404-01) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003546565

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameROY SUBASH KONDAPAVULURUCredential: MD

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address224 Richmond Ter Apt 6dStaten Island, NY 10301-2866 · (615) 708-2623

Phone(615) 708-2623

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJune 15, 2022

Last NPPES UpdateNovember 15, 20252 updates tracked since enumeration

NPPES CertifiedNovember 15, 2025

✔ NPI 1003546565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 338404-01

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

475 SEAVIEW AVE, Staten Island, NY 10305

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roy Subash Kondapavuluru Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587159892

PECOS Enrollment IDI20251223002841

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330160

Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DAWN MARIE COTTONE RPA-C

Physician Assistant (Surgical)