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DR. MOUNICA KONERU MD
NPI 1710567409
Pediatrics in Salisbury, MD

Active since April 08, 2021PECOS Enrolled
100 E CARROLL ST, SALISBURY, MD 21801(410) 912-2817 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2024, Jun 22, 2024, Apr 8, 2021 (3 updates tracked since 2021).

About Dr. Mounica Koneru Md NPPES

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

DR. MOUNICA KONERU MD (NPI 1710567409) is an individual pediatrics provider in Salisbury, Maryland, licensed in Maryland (D0098933) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710567409
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MOUNICA KONERUCredential: MD
Location Address100 E CARROLL STSalisbury, MD 21801-5422
Mailing Address412 E North Pointe Dr Apt 229Salisbury, MD 21804-2342
Phone(410) 912-2817
Sole ProprietorNo
Enumeration DateApril 8, 2021
Last NPPES UpdateJune 24, 20243 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1710567409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D0098933
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 E CARROLL ST, Salisbury, MD 21801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mounica Koneru Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mounica Koneru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tidalhealth Specialty Care, LLC
Same address
Medical Specialty
100 E CARROLL ST
Salisbury, MD 21801
  • Reassigned Medicare billing, Maryland enrollment
  • 531 clinicians in this Medicare group
NPI 1619504735 (410) 546-6400

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 21801 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

DR. DANIEL DEMETRIOS COLLECTOR MD
Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 546-6400
TIDALHEALTH SPECIALTY CARE
Pediatrics (Neonatal-Perinatal Medicine)
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7749
ALEX L MAH MD
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7375
MICHELLE H GRBIC MS CCC-SLP
Speech-Language Pathologist
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 546-6400
DR. SAVANNAH FINLEY DO
Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 546-6400
BRENDA MARTIN CRNP
Nurse Practitioner
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7531
CHARLES B SILVIA JR. MD
Internal Medicine
100 E CARROLL ST, INPATIENT SERVICES
SALISBURY, MD 21801
Wicomico County (410) 543-7536
WILLIAM C TODD MD
Emergency Medicine
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7100

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 Mounica Koneru's NPI number?

The NPI number for Mounica Koneru is 1710567409. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Mounica Koneru located?

Mounica Koneru practices at 100 E Carroll St, Salisbury, MD 21801. The listed phone number is (410) 912-2817.

What is Mounica Koneru's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mounica Koneru enrolled in Medicare?

Yes. Mounica Koneru is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mounica Koneru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mounica Koneru reassigns Medicare benefits to Tidalhealth Specialty Care, LLC (Salisbury, MD). 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 Mounica Koneru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mounica Koneru accept?

Health plans from AmeriHealth Caritas Next list Mounica Koneru 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 Mounica Koneru was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.