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SAI PRADA KUNKALA
NPI 1689236184
Internal Medicine in York, PA

Active since July 03, 2019PECOS EnrolledAccepts Medicare Assignment
1001 S GEORGE ST, YORK, PA 17403(717) 741-8003 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2022, Jul 5, 2019 (2 updates tracked since 2019).

About Sai Prada Kunkala NPPES

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

SAI PRADA KUNKALA (NPI 1689236184) is an individual internal medicine provider in York, Pennsylvania, licensed in Delaware (C1-0025259) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689236184
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSAI PRADA KUNKALA
Location Address1001 S GEORGE STYork, PA 17403-3645
Mailing Address1001 S George StYork, PA 17403-3645 · (717) 741-8003
Phone(717) 741-8003
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 3, 2019
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1689236184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in DE · C1-0025259✔ Licensed in PA · MT219343
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.
1001 S GEORGE ST, York, PA 17403
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross Blue Shield of Arizona.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

Sai Prada Kunkala 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 ID5496180093
PECOS Enrollment IDI20250325002156
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 Reassignments

2

Medicare enrollment records show Sai Prada Kunkala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Union Hospital Of Cecil County, Inc
44 mi
Family Medicine
4853 PULASKI HWY STE 300
Perryville, MD 21903
  • Reassigned Medicare billing, Maryland enrollment
  • 512 clinicians in this Medicare group
NPI 1639920648 (410) 642-2289
Banner Physician Specialists Arizona LLC
1,885 mi
Multi-Specialty
601 N NAVAJO
Page, AZ 86040
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Banner Hospital Based Physicians Arizona LLC
  • 1,081 clinicians in this Medicare group
NPI 1366799355 (928) 645-0131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
453 services186 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
297 services126 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
103 services103 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
36 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

MRS. KAREN SMAY FRY CCC-SLP
Speech-Language Pathologist
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2601
MRS. ANURADHA SHARMA CRNP
Nurse Practitioner (Adult Health)
1001 S GEORGE ST, 3RD FLOOR
YORK, PA 17403
York County (717) 851-4005
DR. SAHIL JAIN M.D.
Family Medicine
1001 S GEORGE ST, YORK HOSPITAL
YORK, PA 17403
York County (717) 851-2521
ADRIENNE CHAKOT CRNA
Nurse Anesthetist, Certified Registered
1001 S GEORGE ST
YORK, PA 17403
York County (717) 812-7687
BRIAN DAVID HOLSINGER MD
Emergency Medicine
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2311
NICOLE S BENZING PAC
Physician Assistant (Medical)
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2465
JACOB RUSSELL MCKENZIE MD
Emergency Medicine
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2311
MUSTAFA TAHIR MD
Internal Medicine
1001 S GEORGE ST
YORK, PA 17403
York County (717) 741-8003

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 Sai Prada Kunkala's NPI number?

The NPI number for Sai Prada Kunkala is 1689236184. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Sai Prada Kunkala located?

Sai Prada Kunkala practices at 1001 S George St, York, PA 17403. The listed phone number is (717) 741-8003.

What is Sai Prada Kunkala's specialty?

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

Is Sai Prada Kunkala enrolled in Medicare?

Yes. Sai Prada Kunkala 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 Sai Prada Kunkala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sai Prada Kunkala reassigns Medicare benefits to 2 organizations: Union Hospital Of Cecil County, Inc (Perryville, MD) and Banner Physician Specialists Arizona LLC (Page, AZ). 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 Sai Prada Kunkala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sai Prada Kunkala accept?

Health plans from AmeriHealth Caritas Next and Blue Cross Blue Shield of Arizona list Sai Prada Kunkala 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.

When was this NPI record last updated?

The NPPES record for Sai Prada Kunkala was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.