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DR. EKAMBARAM ILAMATHI M.D.
NPI 1326046715
Internal Medicine - Nephrology in Brightwaters, NY

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
38 S WINDSOR AVE, BRIGHTWATERS, NY 11718(516) 318-8527 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ekambaram Ilamathi M.d. NPPES

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

DR. EKAMBARAM ILAMATHI M.D. (NPI 1326046715) is an individual nephrology provider in Brightwaters, New York, licensed in New York (126913) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1326046715
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. EKAMBARAM ILAMATHICredential: M.D.
Location Address38 S WINDSOR AVEBrightwaters, NY 11718-1505
Mailing Address38 S Windsor AveBrightwaters, NY 11718-1505 · (516) 318-8527
Phone(516) 318-8527
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateJuly 11, 2005
Last NPPES UpdateJuly 12, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1326046715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 126913
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

38 S WINDSOR AVE, Brightwaters, NY 11718
Open in Google Maps ↗

Other Identifiers 5

Medicaid00384827NY
Other390001418NY · Medicare Railroad
Other337741NY · Empire Bluecross Blushiel
OtherCS665NY · Oxford
Other1318NY · Vytra

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. Ekambaram Ilamathi 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 ID6103842737
PECOS Enrollment IDI20101203000747
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 9

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.

Follow-up hospital inpatient care per day, typically 35 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.
568 services240 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
312 services141 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
254 services146 patients
Hemodialysis procedure requiring repeated evaluation 90937
Hemodialysis is a treatment that filters waste and excess fluids from your blood when your kidneys can't do this adequately. It's an ongoing process, requiring regular evaluations to monitor and adjust the treatment for optimal results.
211 services81 patients
Initial hospital inpatient care per day, typically 70 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.
183 services166 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
159 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11718 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

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
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers45 claims7,200 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers25 claims2,850 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers20 claims3,240 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers35 claims5,160 services$0.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
7 suppliers44 claims44 services$18.52 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
9 suppliers91 claims91 services$12.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ekambaram Ilamathi's NPI number?

The NPI number for Ekambaram Ilamathi is 1326046715. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Ekambaram Ilamathi located?

Ekambaram Ilamathi practices at 38 S Windsor Ave, Brightwaters, NY 11718. The listed phone number is (516) 318-8527.

What is Ekambaram Ilamathi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ekambaram Ilamathi enrolled in Medicare?

Yes. Ekambaram Ilamathi 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.

Is Ekambaram Ilamathi affiliated with any hospitals?

According to CMS data, Ekambaram Ilamathi is affiliated with Good Samaritan Hospital Medical Center and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Ekambaram Ilamathi was last updated on July 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.