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DR. RENUKA KAKARALA
NPI 1417012030
Internal Medicine in Williamsport, PA

Active since December 26, 2006PECOS Enrolled
904 CAMPBELL ST, SUITE 102, WILLIAMSPORT, PA 17701(570) 321-2284(570) 321-2477 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Renuka Kakarala NPPES

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

DR. RENUKA KAKARALA (NPI 1417012030) is an individual internal medicine provider in Williamsport, Pennsylvania, licensed in Pennsylvania (MD423674) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417012030
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. RENUKA KAKARALA
Location Address904 CAMPBELL ST, SUITE 102Williamsport, PA 17701-3154
Mailing Address1201 Grampian Blvd, Suite 1kWilliamsport, PA 17701-1900
Phone(570) 321-2284
Fax(570) 321-2477
Sole ProprietorNo
Enumeration DateDecember 26, 2006
Last NPPES UpdateFebruary 6, 2013
✔ NPI 1417012030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD423674
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.
904 CAMPBELL ST, Williamsport, PA 17701
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Other Identifiers 5

Other1646618PA · Highmark Blue Shield
Other9849152PA · Aetna
Medicaid1021943900001PA
Medicare PINP00645981PA
Other003172PA · First Priority Health

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Renuka Kakarala 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.

Medicare Billing Reassignment

Medicare enrollment records show Renuka Kakarala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prospect Health Access Network, Inc.
123 mi
Physical Medicine & Rehabilitation
485 BALTIMORE PIKE, SUITE 202
Glen Mills, PA 19342
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
NPI 1083061006 (610) 588-9222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17701 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims29 services$6.00 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$41.91 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$13.77 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$14.07 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$187.05 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers12 claims12 services$13.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

WILLIAMSPORT OBSTETRICS & GYNECOLOGY, P.C.
Obstetrics & Gynecology (Gynecology)
904 CAMPBELL ST, SUITE 203
WILLIAMSPORT, PA 17701
Lycoming County (570) 327-9900
SUSQUEHANNA PHYSICIAN SERVICES
Family Medicine
904 CAMPBELL ST, SUITE 202
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2290
HANI J TUFFAHA MD PC
Neurological Surgery
904 CAMPBELL ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 323-5352
SUSQUEHANNA PHYSICIAN SERVICES
Pediatrics
904 CAMPBELL ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3100
VINCENT P HERBST M.D.
Dermatology (Procedural Dermatology)
904 CAMPBELL ST, SUITE 206
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-1600
LINDA B LOEHR CNM
Advanced Practice Midwife
904 CAMPBELL ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 327-9900
SUSQUEHANNA PHYSICIAN SERVICES
Internal Medicine
904 CAMPBELL ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3110
RACHAEL D. KERSHNER
Counselor (Mental Health)
904 CAMPBELL ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 505-1887

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 Renuka Kakarala's NPI number?

The NPI number for Renuka Kakarala is 1417012030. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Renuka Kakarala located?

Renuka Kakarala practices at 904 Campbell St Suite 102, Williamsport, PA 17701. The listed phone number is (570) 321-2284.

What is Renuka Kakarala's specialty?

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

Is Renuka Kakarala enrolled in Medicare?

Yes. Renuka Kakarala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Renuka Kakarala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renuka Kakarala reassigns Medicare benefits to Prospect Health Access Network, Inc. (Glen Mills, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renuka Kakarala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Renuka Kakarala was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.