KUDUVALLI OMPRAKASH MD
NPI 1376504019
Internal Medicine in Staten Island, NY

Q: What is Kuduvalli Omprakash's NPI number?

The NPI number for Kuduvalli Omprakash is 1376504019. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Q: What is Kuduvalli Omprakash's specialty?

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

Active since March 31, 2006PECOS Enrolled

235 PORT RICHMOND AVE, STATEN ISLAND, NY 10302(718) 924-2254(718) 442-0189 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kuduvalli Omprakash Md NPPES

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

KUDUVALLI OMPRAKASH MD (NPI 1376504019) is an individual internal medicine provider in Staten Island, New York, licensed in New York (146561) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376504019

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKUDUVALLI OMPRAKASHCredential: MD

Location Address235 PORT RICHMOND AVEStaten Island, NY 10302-1701

Mailing Address235 Port Richmond AveStaten Island, NY 10302-1701 · (718) 924-2254 · Fax (718) 442-0189

Phone(718) 924-2254

Fax(718) 442-0189

Sole ProprietorNo

Enumeration DateMarch 31, 2006

Last NPPES UpdateApril 5, 2012

✔ NPI 1376504019 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 · 146561

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.

235 PORT RICHMOND AVE, Staten Island, NY 10302

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Other Identifiers 3

Medicare UPINB79704

Medicaid00810206NY

Medicare ID-Type Unspecified86A541

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kuduvalli Omprakash Md 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 10302 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.

Other Providers at the Same Location NPPES 17

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

SANDRA BLANDON NP

Nurse Practitioner