DR. SANTI SWAROOP KARNAM MD
NPI 1619472974
Ophthalmology in Pittston, PA
About Dr. Santi Swaroop Karnam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANTI SWAROOP KARNAM MD (NPI 1619472974) is an individual ophthalmology provider in Pittston, Pennsylvania, licensed in Pennsylvania (MD477019) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Accepted Insurance
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. Santi Swaroop Karnam Md 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger Medical Center
Acute Care Hospitals · Danville, PAGeisinger Wyoming Valley Medical Center
Acute Care Hospitals · Wilkes Barre, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Santi Karnam's NPI number?
The NPI number for Santi Karnam is 1619472974. It was assigned to this individual provider in the NPPES registry on March 28, 2018.
Where is Santi Karnam located?
Santi Karnam practices at 1201 Oak St, Pittston, PA 18640. The listed phone number is (570) 808-9800.
What is Santi Karnam's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Santi Karnam enrolled in Medicare?
Yes. Santi Karnam 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.
What insurance does Santi Karnam accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Santi Karnam 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 Santi Karnam affiliated with any hospitals?
According to CMS data, Santi Karnam is affiliated with Geisinger Medical Center and Geisinger Wyoming Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Santi Karnam was last updated on September 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
