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DR. NAVEEN KUMAR PESALA M.D
NPI 1346440823
Internal Medicine in New York, NY

Active since July 23, 2007PECOS EnrolledAccepts Medicare Assignment
51 SAINT NICHOLAS AVE, SUITE 1, NEW YORK, NY 10026(646) 360-3784(917) 398-1563 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Naveen Kumar Pesala M.d NPPES

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

DR. NAVEEN KUMAR PESALA M.D (NPI 1346440823) is an individual internal medicine provider in New York, New York, licensed in New York (002887) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1346440823
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NAVEEN KUMAR PESALACredential: M.D
Location Address51 SAINT NICHOLAS AVE, SUITE 1New York, NY 10026-3467
Mailing Address51 Saint Nicholas Ave, Suite 1New York, NY 10026-3467 · (646) 360-3784 · Fax (917) 398-1563
Phone(646) 360-3784
Fax(917) 398-1563
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 23, 2007
Last NPPES UpdateOctober 27, 2015
✔ NPI 1346440823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 002887
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
51 SAINT NICHOLAS AVE, New York, NY 10026
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Other Identifiers 2

Medicare PINA300072571NY
Medicaid03333135NY

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. Naveen Kumar Pesala 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 ID749366524
PECOS Enrollment IDI20080319000185
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
63 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10026 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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

Colorectal Cancer Screening
13%205 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
39%138 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
0%49 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
35%49 patients3/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%726 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
9%1,182 patients1/55-star benchmark: 61%
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.

Other Providers at the Same Location NPPES 2

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

YELENA TSYBA D.O.
Obstetrics & Gynecology
51 SAINT NICHOLAS AVE
NEW YORK, NY 10026
New York County (212) 281-8600
DR. MICHAEL NAARENDORP M.D.
Internal Medicine (Rheumatology)
51 SAINT NICHOLAS AVE, APT PH-3F
NEW YORK, NY 10026
New York County (212) 360-5752

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 Naveen Pesala's NPI number?

The NPI number for Naveen Pesala is 1346440823. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Naveen Pesala located?

Naveen Pesala practices at 51 Saint Nicholas Ave Suite 1, New York, NY 10026. The listed phone number is (646) 360-3784.

What is Naveen Pesala's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Naveen Pesala enrolled in Medicare?

Yes. Naveen Pesala 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.

When was this NPI record last updated?

The NPPES record for Naveen Pesala was last updated on October 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.