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VIKRAM ETTIGOUNDER PONNUSAMY MD
NPI 1093335937
Ophthalmology in Orlando, FL

Active since April 21, 2020PECOS EnrolledAccepts Medicare Assignment
95 COLUMBIA ST, ORLANDO, FL 32806(407) 849-9621(407) 420-4056 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2026, Jun 10, 2024, Apr 22, 2020 (3 updates tracked since 2020).

About Vikram Ettigounder Ponnusamy Md NPPES

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

VIKRAM ETTIGOUNDER PONNUSAMY MD (NPI 1093335937) is an individual ophthalmology provider in Orlando, Florida, licensed in Florida (ME177994) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (2020).

NPPES Registry Identity

NPI1093335937
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameVIKRAM ETTIGOUNDER PONNUSAMYCredential: MD
Location Address95 COLUMBIA STOrlando, FL 32806-1101
Mailing Address95 Columbia StOrlando, FL 32806-1101 · (407) 849-9621 · Fax (904) 996-1446
Phone(407) 849-9621
Fax(407) 420-4056
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2020
Enumeration DateApril 21, 2020
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1093335937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME177994
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License ME177994 (FL)
95 COLUMBIA ST, Orlando, FL 32806
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vikram Ettigounder Ponnusamy 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 ID648601070
PECOS Enrollment IDI20240710001726
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Vikram Ponnusamy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Retina Vitreous Consultants
178 mi
Ophthalmology
6333 N FEDERAL HWY, SUITE 300
Ft Lauderdale, FL 33308
  • Reassigned Medicare billing, Florida enrollment
  • 48 clinicians in this Medicare group
NPI 1699773796 (954) 776-6880
Associated Retinal Consultants LLC
834 mi
Ophthalmology
1 CENTURIAN DR STE 114
Newark, DE 19713
  • Reassigned Medicare billing, New Jersey enrollment
  • 118 clinicians in this Medicare group
NPI 1164578894 (908) 458-8333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of eye fluid (vitreous) between lens and retina 67036
This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.
22 services21 patients
Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108
This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.
20 services19 patients
Removal of membrane of retina 67041
Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.
17 services17 patients
Removal of membrane of retina with removal of internal limiting membrane of retina 67042
This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 9

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

DR. MADELEINE YASSER YEHIA MD
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Orange County (407) 849-9621
MATTHEW ALEXANDER CUNNINGHAM MD
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Orange County (407) 849-9621
NISARG P JOSHI MD
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Orange County (407) 849-9621
ELIA C MAVROFRIDES MD
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Orange County (407) 849-9621
FLORIDA RETINA INSTITUTE JAMES A STAMAN MD LLC
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Orange County (407) 849-9621
DR. LUIS GUILLERMO LEON-ALVARADO M.D.
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Orange County (407) 849-9621
SAMUEL KENNEY HOUSTON III MD
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Orange County (407) 849-9621
GABRIELLE NICOLE TURSKI MD PHD
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Orange County (407) 849-9621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vikram Ponnusamy's NPI number?

The NPI number for Vikram Ponnusamy is 1093335937. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Where is Vikram Ponnusamy located?

Vikram Ponnusamy practices at 95 Columbia St, Orlando, FL 32806. The listed phone number is (407) 849-9621.

What is Vikram Ponnusamy's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Vikram Ponnusamy enrolled in Medicare?

Yes. Vikram Ponnusamy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Vikram Ponnusamy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vikram Ponnusamy reassigns Medicare benefits to 2 organizations: Retina Vitreous Consultants (Ft Lauderdale, FL) and Associated Retinal Consultants LLC (Newark, DE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vikram Ponnusamy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vikram Ponnusamy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Superior HealthPlan, Ambetter of Alabama and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Vikram Ponnusamy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vikram Ponnusamy affiliated with any hospitals?

According to CMS data, Vikram Ponnusamy is affiliated with Robert Wood Johnson University Hospital and Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Vikram Ponnusamy was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.