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MAMATHA SUNDARESH MD
NPI 1629063318
Pediatrics in Brooklyn, NY

Active since September 19, 2005PECOS Enrolled
4802 10TH AVE, BROOKLYN, NY 11219(718) 283-7500(718) 635-7235 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mamatha Sundaresh Md NPPES

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

MAMATHA SUNDARESH MD (NPI 1629063318) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (190550) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629063318
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMAMATHA SUNDARESHCredential: MD
Location Address4802 10TH AVEBrooklyn, NY 11219-2844
Mailing Address977 48th StBrooklyn, NY 11219-2919 · (718) 283-8015 · Fax (718) 635-7235
Phone(718) 283-7500
Fax(718) 635-7235
Sole ProprietorYes
Enumeration DateSeptember 19, 2005
Last NPPES UpdateFebruary 5, 2013
✔ NPI 1629063318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 190550
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4802 10TH AVE, Brooklyn, NY 11219
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Other Identifiers 11

Other11-3563769NY · Horizon Healthcare Ny
Other300950401NY · Health Plus
OtherBK00828-03NY · Americhoice
OtherP2163738NY · Oxford Health Plans
Medicare ID-Type Unspecified32J791NY
Other2563948NY · Aetna Ushc Hmo
Other2698609NY · Ghi
Other4604933NY · Aetna Ppo
Medicare UPINF89805NY
Medicaid01480813NY
Other190550-F15NY · Health First

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mamatha Sundaresh Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11219 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

CARLOS BUZZETTA
Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8961
LOBELYS A ANICET PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-5660
CHIAMAKA MEREMETOH MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
JESSE M. GALINA
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
DR. ABANOUB ALFY NAKHLA MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
CHRISTINE LI MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
MS. KATRINA W SOWERBY FNP
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Kings County (718) 283-7300
MAIMONIDES MEDICAL CENTER MAIMONIDES INFECTIOUS DISEASES FPP
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8773

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 Mamatha Sundaresh's NPI number?

The NPI number for Mamatha Sundaresh is 1629063318. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Mamatha Sundaresh located?

Mamatha Sundaresh practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-7500.

What is Mamatha Sundaresh's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mamatha Sundaresh enrolled in Medicare?

Yes. Mamatha Sundaresh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mamatha Sundaresh was last updated on February 5, 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.