POOJITHA PATHAKAMUDI MD
NPI 1053044024
Student in an Organized Health Care Education/Training Program in New York, NY

Q: What is Poojitha Pathakamudi's NPI number?

The NPI number for Poojitha Pathakamudi is 1053044024. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Q: What is Poojitha Pathakamudi's specialty?

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

Active since July 06, 2022PECOS EnrolledAccepts Medicare Assignment

1901 1ST AVE, NEW YORK, NY 10029(917) 603-4719 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Poojitha Pathakamudi Md NPPES

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

POOJITHA PATHAKAMUDI MD (NPI 1053044024) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053044024

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NamePOOJITHA PATHAKAMUDICredential: MD

Location Address1901 1ST AVENew York, NY 10029-7494

Mailing Address1955 1st Ave Apt 439New York, NY 10029-6443 · (212) 423-6271

Phone(917) 603-4719

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 6, 2022

NPPES CertifiedJuly 6, 2022

✔ NPI 1053044024 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.

1901 1ST AVE, New York, NY 10029

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Poojitha Pathakamudi 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 ID3274055512

PECOS Enrollment IDI20250317002068

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.

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

Leave this field empty

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.

KENNETH BOMPAROLA PA

Physician Assistant