KARTHIK PENUMETSA M.D
NPI 1710151527
Internal Medicine - Gastroenterology in Wilkes Barre, PA

Q: What is Karthik Penumetsa's NPI number?

The NPI number for Karthik Penumetsa is 1710151527. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Q: What is Karthik Penumetsa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Karthik Penumetsa was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since April 14, 2008PECOS EnrolledAccepts Medicare Assignment

90.34/100

CMS Quality Rating

545 N RIVER ST, WILKES BARRE, PA 18702(570) 552-2620(570) 552-7169 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Karthik Penumetsa M.d NPPES

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

KARTHIK PENUMETSA M.D (NPI 1710151527) is an individual gastroenterology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD455445) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1710151527

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameKARTHIK PENUMETSACredential: M.D

Location Address545 N RIVER STWilkes Barre, PA 18702-2600

Mailing Address545 N River StWilkes Barre, PA 18702-2600 · (570) 552-2620 · Fax (570) 288-5842

Phone(570) 552-2620

Fax(570) 552-7169

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateApril 14, 2008

Last NPPES UpdateJanuary 29, 2026

NPPES CertifiedJanuary 29, 2026

✔ NPI 1710151527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in PA · MD455445

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD455445 (PA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 390200000X

545 N RIVER ST, Wilkes Barre, PA 18702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karthik Penumetsa M.d 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 ID2062728769

PECOS Enrollment IDI20150826000159

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.

Areas of Expertise CMS Part B claims 14

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

190 services163 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

150 services150 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

137 services137 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

134 services131 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

37 services37 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

32 services32 patients

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.

28 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services18 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

16 services16 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

14 services11 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

13 services12 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

13 services13 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number390137

Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County

Emergency services

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.69

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

HYUNG-BAE KIM MD PC

Obstetrics & Gynecology

545 N RIVER ST, SUITE 210
WILKES BARRE, PA 18702

Luzerne County (570) 823-1169

LAUREN DENAPLES

Nurse Practitioner (Family)

545 N RIVER ST, SUITE 240
WILKES BARRE, PA 18702

Luzerne County (570) 706-2620

GARY RAYMOND DECKER MD

Internal Medicine (Infectious Disease)

545 N RIVER ST, SUITE 205
WILKES BARRE, PA 18702

Luzerne County (570) 822-6036

WYOMING VALLEY INFECTIOUS DISEASE ASSOC, PC

Internal Medicine (Infectious Disease)

545 N RIVER ST, SUITE 205
WILKES BARRE, PA 18702

Luzerne County (570) 822-6036

AKRAM ZALATIMO,MD

Obstetrics & Gynecology (Obstetrics)

545 N RIVER ST, SUITE 110
WILKES BARRE, PA 18702

Luzerne County (570) 270-7600

DAVID LEZINSKY DO

Obstetrics & Gynecology

545 N RIVER ST, STE 210
WILKES BARRE, PA 18702

Luzerne County (570) 823-1169

RICHARD H. BLUM MD

Clinic/Center (Primary Care)

545 N RIVER ST, SUITE 230
WILKES BARRE, PA 18702

Luzerne County (570) 826-0526

STEVEN W. MARRA M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

545 N RIVER ST, SUITE 220
WILKES BARRE, PA 18702

Luzerne County (570) 819-2825

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 Karthik Penumetsa's NPI number?

The NPI number for Karthik Penumetsa is 1710151527. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Karthik Penumetsa located?

Karthik Penumetsa practices at 545 N River St, Wilkes Barre, PA 18702. The listed phone number is (570) 552-2620.

What is Karthik Penumetsa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Karthik Penumetsa enrolled in Medicare?

Yes. Karthik Penumetsa 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.

What insurance does Karthik Penumetsa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Karthik Penumetsa 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.

Is Karthik Penumetsa affiliated with any hospitals?

According to CMS data, Karthik Penumetsa is affiliated with Wilkes-Barre General Hospital and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Karthik Penumetsa was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.