DR. TANESH KUMAR AYYALU MD
NPI 1639707441
Student in an Organized Health Care Education/Training Program in Forest Hills, NY
About Dr. Tanesh Kumar Ayyalu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TANESH KUMAR AYYALU MD (NPI 1639707441) is an individual student in an organized health care education/training program in Forest Hills, New York and active in the NPI registry since March 2020.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tanesh Kumar Ayyalu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tanesh Ayyalu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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.
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.
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
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 Tanesh Ayyalu's NPI number?
The NPI number for Tanesh Ayyalu is 1639707441. It was assigned to this individual provider in the NPPES registry on March 28, 2020.
Where is Tanesh Ayyalu located?
Tanesh Ayyalu practices at 10201 66th Rd, Forest Hills, NY 11375. The listed phone number is (718) 830-4352.
What is Tanesh Ayyalu's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Tanesh Ayyalu enrolled in Medicare?
Yes. Tanesh Ayyalu is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tanesh Ayyalu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tanesh Ayyalu reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The 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 Tanesh Ayyalu'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 Tanesh Ayyalu was last updated on March 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Tanesh Kumar Ayyalu, MD · NPI 1639707441
Student in an Organized Health Care Education/Training Program provider in Forest Hills, New York. Individual provider, active in the CMS NPPES registry since March 28, 2020.
## Identity
- **NPI:** 1639707441 (Entity type: Individual)
- **Enumerated:** March 28, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10201 66TH RD, Forest Hills, NY 11375-2029
- **Phone:** (718) 830-4352
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1639707441) · Data from the CMS NPPES public registry.