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
Accepted 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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Santi Karnam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pittston, PA 18640
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 230 clinicians in this Medicare group
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 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.
Which organizations bill Medicare for Santi Karnam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Santi Karnam reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Pittston, PA) and Wills Eye Ophthalmology Clinic, Inc (Philadelphia, PA). 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 Santi Karnam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Santi Swaroop Karnam, MD · NPI 1619472974
Ophthalmology physician in Pittston, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 28, 2018.
## Identity
- **NPI:** 1619472974 (Entity type: Individual)
- **Enumerated:** March 28, 2018
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** MD477019 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1201 OAK ST, Pittston, PA 18640-3798
- **Phone:** (570) 808-9800 · **Fax:** (814) 359-7611
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1578871083, Pittston, PA); Wills Eye Ophthalmology Clinic, Inc (NPI 1184624009, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nebraska College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** September 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619472974) · Data from the CMS NPPES public registry.