MAMATHA SUNDARESH MD
NPI 1629063318
Pediatrics in Brooklyn, NY
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
Specialties & Licenses
Other Identifiers 11
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mamatha Sundaresh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Mamatha Sundaresh reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 1,177 clinicians in this Medicare group
Brooklyn, NY 11204
- Reassigned Medicare billing, New York enrollment
- 137 clinicians in this Medicare group
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- 738 clinicians in this Medicare group
Inwood, NY 11096
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Nassau Health Care Corporation
- 553 clinicians in this Medicare group
West Islip, NY 11795
- Reassigned Medicare billing, New York enrollment
- 395 clinicians in this Medicare group
West Islip, NY 11795
- Reassigned Medicare billing, New York enrollment
- 91 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.
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.
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.
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
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.
Which organizations bill Medicare for Mamatha Sundaresh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mamatha Sundaresh reassigns Medicare benefits to 6 organizations: Maimonides Faculty Practice Plan (Brooklyn, NY), Mmc Pediatrics Faculty Practice (Brooklyn, NY), Jamaica Hospital (Jamaica, NY), Inwood Community Health Center (Inwood, NY), Good Samaritan Hospital Medical Center (West Islip, NY) and 1 more organization, listed in the Medicare section above. 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 Mamatha Sundaresh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mamatha Sundaresh, MD · NPI 1629063318
Pediatrics physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since September 19, 2005.
## Identity
- **NPI:** 1629063318 (Entity type: Individual)
- **Enumerated:** September 19, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 190550 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4802 10TH AVE, Brooklyn, NY 11219-2844
- **Phone:** (718) 283-7500 · **Fax:** (718) 635-7235
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Maimonides Faculty Practice Plan (NPI 1053344846, Brooklyn, NY); Mmc Pediatrics Faculty Practice (NPI 1285648154, Brooklyn, NY); Jamaica Hospital (NPI 1477505220, Jamaica, NY); Inwood Community Health Center (NPI 1881619708, Inwood, NY); Good Samaritan Hospital Medical Center (NPI 1902865355, West Islip, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2013
- **Other identifiers:** Other 11-3563769 (NY); Other 300950401 (NY); Other BK00828-03 (NY); and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629063318) · Data from the CMS NPPES public registry.