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KATHERINE ANNE PANUSHKA
NPI 1508443953
Obstetrics & Gynecology in Bronx, NY

Active since March 24, 2021PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 430-4031 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2021, Mar 31, 2021, Mar 24, 2021 (3 updates tracked since 2021).

About Katherine Anne Panushka NPPES

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

KATHERINE ANNE PANUSHKA (NPI 1508443953) is an individual obstetrics & gynecology provider in Bronx, New York, licensed in New York (33541201) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of University Of Utah School Of Medicine (2021).

NPPES Registry Identity

NPI1508443953
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATHERINE ANNE PANUSHKA
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address1025 S Mcclelland StSalt Lake City, UT 84105-1418 · (801) 458-1884
Phone(718) 430-4031
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateSeptember 29, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
✔ NPI 1508443953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 33541201
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
111 E 210TH ST, Bronx, NY 10467
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Anne Panushka is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406358068
PECOS Enrollment IDI20250904001653
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 Katherine Panushka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
Same address
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

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

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Katherine Panushka's NPI number?

The NPI number for Katherine Panushka is 1508443953. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Katherine Panushka located?

Katherine Panushka practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 430-4031.

What is Katherine Panushka's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Katherine Panushka enrolled in Medicare?

Yes. Katherine Panushka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Panushka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Panushka reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). 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 Katherine Panushka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Katherine Panushka affiliated with any hospitals?

According to CMS data, Katherine Panushka is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Katherine Panushka was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.