PAVITHRA KAKUMANU MD
NPI 1740487289
Internal Medicine in New York, NY

Active since June 28, 2007Opted out of Medicare · through Apr 11, 2027
126 5TH AVE FL 2, NEW YORK, NY 10011(646) 880-4465 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2025, Aug 14, 2024, Jul 23, 2024 and 1 more (4 updates tracked since 2021).

About Pavithra Kakumanu Md NPPES

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

PAVITHRA KAKUMANU MD (NPI 1740487289) is an individual internal medicine provider in New York, New York, licensed in District Of Columbia (MD047996) and active in the NPI registry since June 2007. She has opted out of Medicare through April 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740487289
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePAVITHRA KAKUMANUCredential: MD
Location Address126 5TH AVE FL 2New York, NY 10011-5631
Mailing Address126 5th Ave Fl 2New York, NY 10011-5631 · (646) 880-4465
Sole ProprietorYes
Enumeration DateJune 28, 2007
Last NPPES UpdateFebruary 20, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
NPI 1740487289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in DC · MD047996 Licensed in NY · 241909
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.
126 5TH AVE FL 2, New York, NY 10011

Other Identifiers 2

Other241909NY · License
OtherMD047996DC · Dc Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Pavithra Kakumanu Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 11, 2025 through April 11, 2027.

Opt-Out Effective DateApril 11, 2025
Opt-Out In Effect ThroughApril 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 15

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

Internal Medicine
126 5TH AVE FL 2
NEW YORK, NY 10011
Dietitian, Registered
126 5TH AVE FL 2
NEW YORK, NY 10011
General Practice
126 5TH AVE FL 2
NEW YORK, NY 10011
Family Medicine
126 5TH AVE FL 2
NEW YORK, NY 10011
Family Medicine
126 5TH AVE FL 2
NEW YORK, NY 10011
Nurse Practitioner (Family)
126 5TH AVE FL 2
NEW YORK, NY 10011
Physician Assistant (Medical)
126 5TH AVE FL 2
NEW YORK, NY 10011
Nurse Practitioner (Family)
126 5TH AVE FL 2
NEW YORK, NY 10011

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 Pavithra Kakumanu's NPI number?

The NPI number for Pavithra Kakumanu is 1740487289. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Pavithra Kakumanu located?

Pavithra Kakumanu practices at 126 5th Ave Fl 2, New York, NY 10011. The listed phone number is (646) 880-4465.

What is Pavithra Kakumanu's specialty?

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

Is Pavithra Kakumanu enrolled in Medicare?

No. Pavithra Kakumanu has opted out of Medicare through April 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Pavithra Kakumanu was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.