MARY ROSE PUTHIYAMADAM MD
NPI 1669534574
Internal Medicine in Sleepy Hollow, NY

Q: What is Mary Rose Puthiyamadam's NPI number?

The NPI number for Mary Rose Puthiyamadam is 1669534574. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Q: What is Mary Rose Puthiyamadam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment

80 BEEKMAN AVE, OPEN DOOR FAMILY MEDICAL CENTERS, INC., SLEEPY HOLLOW, NY 10591(914) 941-1263(914) 941-0993 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mary Rose Puthiyamadam Md NPPES

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

MARY ROSE PUTHIYAMADAM MD (NPI 1669534574) is an individual internal medicine provider in Sleepy Hollow, New York, licensed in New York (230358-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1999).

NPPES Registry Identity

NPI1669534574

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMARY ROSE PUTHIYAMADAMCredential: MD

Location Address80 BEEKMAN AVE, OPEN DOOR FAMILY MEDICAL CENTERS, INC.Sleepy Hollow, NY 10591-2503

Mailing Address165 Main St, Open Door Family Medical Centers, Inc.Ossining, NY 10562-4702 · (914) 941-1263 · Fax (914) 941-0993

Phone(914) 941-1263

Fax(914) 941-0993

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1999

Enumeration DateDecember 15, 2006

Last NPPES UpdateDecember 7, 2011

✔ NPI 1669534574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 230358-1

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

80 BEEKMAN AVE, Sleepy Hollow, NY 10591

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Other Identifiers 3

Medicare UPINI07143NY

Medicaid02479481NY

Medicare ID-Type Unspecified014SC1NY

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

Mary Rose Puthiyamadam 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.

PECOS PAC ID4587642566

PECOS Enrollment IDI20040708000269

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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Rose Puthiyamadam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Open Door Family Medical Center Inc

0.2 mi

Federally Qualified Health Center (FQHC)

300 N BROADWAY
Sleepy Hollow, NY 10591

Reassigned Medicare billing, New York enrollment
149 clinicians in this Medicare group

NPI 1619136140 (914) 631-4141

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 10591 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers19 claims33 services$4.38 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier13 claims13 services$184.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISHA JEAN BLANKS RD

Dietitian, Registered