SUDHA KUNCHAM MD
NPI 1164501185
Specialist in Patchogue, NY

Q: What is Sudha Kuncham's NPI number?

The NPI number for Sudha Kuncham is 1164501185. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is Sudha Kuncham's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Sudha Kuncham was last updated on May 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

155 E WOODSIDE AVE, PATCHOGUE, NY 11772(631) 758-6565(631) 758-6568 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sudha Kuncham Md NPPES

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

SUDHA KUNCHAM MD (NPI 1164501185) is an individual specialist in Patchogue, New York, licensed in New York (159205) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1164501185

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameSUDHA KUNCHAMCredential: MD

Location Address155 E WOODSIDE AVEPatchogue, NY 11772-1421

Mailing Address2428 Merrick RdBellmore, NY 11710-5704 · (516) 379-2689 · Fax (516) 867-3880

Phone(631) 758-6565

Fax(631) 758-6568

Sole ProprietorYes

Medical School CMSOtherGraduated 1977

Enumeration DateNovember 2, 2006

Last NPPES UpdateMay 8, 2026

NPPES CertifiedMay 8, 2026

✔ NPI 1164501185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 159205

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

155 E WOODSIDE AVE, Patchogue, NY 11772

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Other Identifiers 1

Other84D771NY · Medicare Id#

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

Sudha Kuncham 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 ID8628014727

PECOS Enrollment IDI20050629000318

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

122 services122 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

115 services115 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

69 services53 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

20 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

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.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

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.

CHRISTAL M ALEXANDER RPAC

Physician Assistant