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DR. ARUN KUMAR DURGAM
NPI 1619225422
Internal Medicine in New York, NY

Active since August 28, 2012PECOS EnrolledAccepts Medicare Assignment
170 WILLIAM ST, NEW YORK, NY 10038(212) 312-5000 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 19, 2025, Sep 5, 2019 (2 updates tracked since 2019).

About Dr. Arun Kumar Durgam NPPES

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

DR. ARUN KUMAR DURGAM (NPI 1619225422) is an individual internal medicine provider in New York, New York, licensed in Texas (S2021) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619225422
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ARUN KUMAR DURGAM
Location Address170 WILLIAM STNew York, NY 10038-2612
Mailing AddressPo Box 61160Corpus Christi, TX 78466-1160 · (361) 288-2222 · Fax (361) 857-0572
Phone(212) 312-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 28, 2012
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1619225422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · S2021
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.
170 WILLIAM ST, New York, NY 10038
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11604 Rock Prairie RdCollege Station, TX 77845-8343 · Phone (979) 680-5462 · Fax (979) 680-5455
Location 22801 Franciscan DrBryan, TX 77802-2544 · Phone (979) 776-5967 · Fax (979) 731-5619

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Arun Kumar Durgam 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 ID9032336151
PECOS Enrollment IDI20190926000484
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 Reassignments

5

Medicare enrollment records show Arun Kumar Durgam reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mchs Hospitals, Inc.
832 mi
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1386249894 (715) 342-0290
Marshfield Clinic Inc
866 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
St. Joseph Regional Health Center
1,429 mi
Family Medicine
2801 FRANCISCAN DR
Bryan, TX 77802
  • Reassigned Medicare billing, Texas enrollment
  • 141 clinicians in this Medicare group
NPI 1669557179 (979) 776-2426
Lonestar Pat Associates PA
1,502 mi
Hospitalist
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 206 clinicians in this Medicare group
NPI 1811594203 (512) 341-1000
Ipc Healthcare Services Of Texas, PLLC
1,580 mi
Hospitalist
7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 688 clinicians in this Medicare group
NPI 1023403011 (210) 344-7287

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
443 services189 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
147 services83 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
135 services135 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 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.
94 services93 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
41 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450011
Location2801 Franciscan DrBryan, TX 77802 · Brazos County
Emergency services Birthing friendly

Madison St Joseph Health Center

Critical Access Hospitals · Madisonville, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number451316
Location100 West Cross StreetMadisonville, TX 77864 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10038 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims24 services$93.86 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$36.25 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 20

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

KURT BELEN RN
Nurse Anesthetist, Certified Registered
170 WILLIAM ST
NEW YORK, NY 10038
New York County (313) 410-1988
MEGAN O'NEILL DPT
Physical Therapist
170 WILLIAM ST, REHAB DEPARTMENT
NEW YORK, NY 10038
New York County (212) 312-5335
DOWNTOWN NUCLEAR CARDIOLOGY, P.C.
Nuclear Medicine (Nuclear Cardiology)
170 WILLIAM ST, SUITE 814
NEW YORK, NY 10038
New York County (212) 312-5000
BRUCE LOGAN MD
Internal Medicine
170 WILLIAM ST, FL 7
NEW YORK, NY 10038
New York County (212) 312-5000
DR. SIMIN SOLTANI FRISK M.D.
Anesthesiology
170 WILLIAM ST, SUITE 288 WEILL CORNELL MEDICINE LMH,
NEW YORK, NY 10038
New York County (212) 312-5243
WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY
Internal Medicine
170 WILLIAM ST
NEW YORK, NY 10038
New York County (212) 590-5741
MR. PAUL JOSEPH GAGLIO JR. PHYSICIAN ASSISTANT
Physician Assistant (Medical)
170 WILLIAM ST
NEW YORK, NY 10038
New York County (212) 312-5746
ALYSSA LYNNE SANDGRUND M.S.PA-C
Physician Assistant
170 WILLIAM ST
NEW YORK, NY 10038
New York County (212) 312-5400

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 Arun Kumar Durgam's NPI number?

The NPI number for Arun Kumar Durgam is 1619225422. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Where is Arun Kumar Durgam located?

Arun Kumar Durgam practices at 170 William St, New York, NY 10038. The listed phone number is (212) 312-5000.

What is Arun Kumar Durgam's specialty?

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

Is Arun Kumar Durgam enrolled in Medicare?

Yes. Arun Kumar Durgam 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.

Which organizations bill Medicare for Arun Kumar Durgam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arun Kumar Durgam reassigns Medicare benefits to 5 organizations: Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI), St. Joseph Regional Health Center (Bryan, TX), Lonestar Pat Associates PA (Round Rock, TX) and Ipc Healthcare Services Of Texas, PLLC (San Antonio, TX). Each 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 Arun Kumar Durgam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arun Kumar Durgam accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and WellPoint list Arun Kumar Durgam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Arun Kumar Durgam affiliated with any hospitals?

According to CMS data, Arun Kumar Durgam is affiliated with Chi St Joseph Health Regional Hospital and Madison St Joseph Health Center.

When was this NPI record last updated?

The NPPES record for Arun Kumar Durgam was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.