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DR. PRAVEEN ANUMULA M.D.
NPI 1114112190
Hospitalist in Schenectady, NY

Active since September 12, 2007PECOS EnrolledAccepts Medicare Assignment
1101 NOTT ST, SCHENECTADY, NY 12308(518) 243-4135(518) 243-1367 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Praveen Anumula M.d. NPPES

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

DR. PRAVEEN ANUMULA M.D. (NPI 1114112190) is an individual hospitalist provider in Schenectady, New York, licensed in New York (002935) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1114112190
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. PRAVEEN ANUMULACredential: M.D.
Location Address1101 NOTT STSchenectady, NY 12308-2425
Mailing Address1101 Nott StSchenectady, NY 12308-2425 · (518) 243-4135 · Fax (518) 243-1367
Phone(518) 243-4135
Fax(518) 243-1367
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 12, 2007
Last NPPES UpdateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1114112190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 002935
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License N3450 (TX)
1101 NOTT ST, Schenectady, NY 12308
Open in Google Maps ↗

Other Identifiers 1

Other002935NY · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.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

Dr. Praveen Anumula M.d. 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 ID4789764382
PECOS Enrollment IDI20090806000290
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
646 services256 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
409 services193 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
253 services245 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
162 services159 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12308 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
69%337 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers11 claims11 services$13.07 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers26 claims26 services$60.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KARYN B. D AMICO PA
Physician Assistant (Surgical)
1101 NOTT ST
SCHENECTADY, NY 12308
Schenectady County (518) 243-4000
NORTHEAST EMERGENCY MEDICAL ASSOCIATES, PC
Emergency Medicine
1101 NOTT ST, @ ELLIS HOSPITAL ER DEPT.
SCHENECTADY, NY 12308
Schenectady County (518) 383-5450
MARTIN SAMPLE PA
Physician Assistant
1101 NOTT ST
SCHENECTADY, NY 12308
Schenectady County (518) 243-4000
JENNIFER E DUROCHER PA
Physician Assistant
1101 NOTT ST, DEPARTMENT OF EMERGENCY
SCHENECTADY, NY 12308
Schenectady County (518) 243-4121
JACQUELINE M SAYRES PA-C
Physician Assistant
1101 NOTT ST
SCHENECTADY, NY 12308
Schenectady County (518) 243-4000
JESSICA CRALL PA
Physician Assistant
1101 NOTT ST
SCHENECTADY, NY 12308
Schenectady County (518) 243-4135
ROBERT SNYDER PA
Physician Assistant
1101 NOTT ST
SCHENECTADY, NY 12308
Schenectady County (518) 243-4135
TAMMY S ADAMSON MD
Emergency Medicine
1101 NOTT ST, DEPARTMENT OF EMERGENCY
SCHENECTADY, NY 12308
Schenectady County (518) 243-1916

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 Praveen Anumula's NPI number?

The NPI number for Praveen Anumula is 1114112190. It was assigned to this individual provider in the NPPES registry on September 12, 2007.

Where is Praveen Anumula located?

Praveen Anumula practices at 1101 Nott St, Schenectady, NY 12308. The listed phone number is (518) 243-4135.

What is Praveen Anumula's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Praveen Anumula enrolled in Medicare?

Yes. Praveen Anumula 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.

What insurance does Praveen Anumula accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Praveen Anumula 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 Praveen Anumula affiliated with any hospitals?

According to CMS data, Praveen Anumula is affiliated with Methodist Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Praveen Anumula was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.