GAYATRI PEMMASANI MD
NPI 1043893050
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Q: What is Gayatri Pemmasani's NPI number?

The NPI number for Gayatri Pemmasani is 1043893050. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Q: What is Gayatri Pemmasani's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Gayatri Pemmasani was last updated on April 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 29, 2021PECOS Enrolled

750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5240 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Gayatri Pemmasani Md NPPES

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

GAYATRI PEMMASANI MD (NPI 1043893050) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043893050

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameGAYATRI PEMMASANICredential: MD

Location Address750 E ADAMS STSyracuse, NY 13210-2306

Mailing Address4 Bryant Cres Apt 2iWhite Plains, NY 10605-2628 · (832) 396-1678

Phone(315) 464-5240

Sole ProprietorYes

Enumeration DateApril 29, 2021

NPPES CertifiedApril 29, 2021

✔ NPI 1043893050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

750 E ADAMS ST, Syracuse, NY 13210

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gayatri Pemmasani Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DAVID M KANTER MD

Physical Medicine & Rehabilitation