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DR. MRUDULA PREMKUMAR M.D
NPI 1225583180
Pediatrics in Nyack, NY

Active since August 22, 2016PECOS Enrolled
160 N MIDLAND AVE, NYACK, NY 10960(973) 615-6662 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2020, Jul 8, 2019, Aug 22, 2016 (3 updates tracked since 2016).

About Dr. Mrudula Premkumar M.d NPPES

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

DR. MRUDULA PREMKUMAR M.D (NPI 1225583180) is an individual pediatrics provider in Nyack, New York, licensed in New York (299538) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225583180
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MRUDULA PREMKUMARCredential: M.D
Location Address160 N MIDLAND AVENyack, NY 10960-1912
Mailing Address61 Davis Ave Apt QWhite Plains, NY 10605-1009 · (973) 615-6662
Phone(973) 615-6662
Sole ProprietorNo
Enumeration DateAugust 22, 2016
Last NPPES UpdateFebruary 14, 20203 updates tracked since enumeration
✔ NPI 1225583180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 299538
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
160 N MIDLAND AVE, Nyack, NY 10960
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Other Names 1

Former Name (1)Dr. Mrudula Maddali M.d

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mrudula Premkumar M.d 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10960 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

KRISTINE M. RIVERA CRNA
Nurse Anesthetist, Certified Registered
160 N MIDLAND AVE, NYACK HOSPITAL
NYACK, NY 10960
Rockland County (845) 348-2862
PREM S. MEHTA MD
Anesthesiology
160 N MIDLAND AVE, NYACK HOSPITAL
NYACK, NY 10960
Rockland County (845) 348-2862
PAMELA CHARNEY MD
Internal Medicine
160 N MIDLAND AVE, ADULT HOSPITAL MEDICINE, NYACK HOSPITAL
NYACK, NY 10960
Rockland County (845) 348-2000
ZENA JUSTICE CRNA
Nurse Anesthetist, Certified Registered
160 N MIDLAND AVE, NYACK HOSPITAL
NYACK, NY 10960
Rockland County (845) 348-2862
DR. BORIS MELNIKAU M.D.
Internal Medicine
160 N MIDLAND AVE
NYACK, NY 10960
Rockland County (845) 348-8884
MONA PEREZ N.P.
Nurse Practitioner
160 N MIDLAND AVE, NYACK HOSPITAL
NYACK, NY 10960
Rockland County (845) 348-2345
DR. JAE HO LEE MD
Anesthesiology
160 N MIDLAND AVE, NYACK HOSPITAL
NYACK, NY 10960
Rockland County (914) 666-8866
MR. JAYESH SAMPAT M.D.
Internal Medicine
160 N MIDLAND AVE
NYACK, NY 10960
Rockland County (845) 348-2000

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 Mrudula Premkumar's NPI number?

The NPI number for Mrudula Premkumar is 1225583180. It was assigned to this individual provider in the NPPES registry on August 22, 2016. The provider is also known as Dr. Mrudula Maddali M.D.

Where is Mrudula Premkumar located?

Mrudula Premkumar practices at 160 N Midland Ave, Nyack, NY 10960. The listed phone number is (973) 615-6662.

What is Mrudula Premkumar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mrudula Premkumar enrolled in Medicare?

Yes. Mrudula Premkumar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mrudula Premkumar was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.