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ETUKURU MD PC
NPI 1780449868
Internal Medicine in Little Egg Harbor Twp, NJ

Active since February 16, 2024
1001 CENTER ST, LITTLE EGG HARBOR TWP, NJ 08087(609) 296-9292 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Etukuru Md Pc NPPES

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

ETUKURU MD PC (NPI 1780449868) is a healthcare organization registered as an internal medicine in Little Egg Harbor Twp, New Jersey and active in the NPI registry since February 2024. The organization lists Kasturi Etukuru, Owner, as its authorized official.

NPPES Registry Identity

NPI1780449868
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameETUKURU MD PC
Location Address1001 CENTER STLittle Egg Harbor Twp, NJ 08087-1347
Mailing Address33 Preakness DrMonroe, NJ 08831-7711 · (718) 702-6139
Phone(609) 296-9292
Organization SubpartNo
Authorized OfficialKasturi EtukuruOwner · (718) 702-6139
Enumeration DateFebruary 16, 2024
Last NPPES UpdateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
✔ NPI 1780449868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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 CENTER ST, Little Egg Harbor Twp, NJ 08087
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Etukuru Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Etukuru MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kasturi Etukuru, M.D.,
Internal Medicine
NPI 1912117300
355 BARD AVE
Staten Island, NY 10310
(718) 818-2526
✔ PECOS✔ Accepts Medicare74 mi

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

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 Etukuru MD PC's NPI number?

The NPI number for Etukuru MD PC is 1780449868. It was assigned to this organization in the NPPES registry on February 16, 2024.

Where is Etukuru MD PC located?

Etukuru MD PC is located at 1001 Center St, Little Egg Harbor Twp, NJ 08087. The listed phone number is (609) 296-9292.

What is Etukuru MD PC's specialty?

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

Is Etukuru MD PC enrolled in Medicare?

Yes. Etukuru MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Etukuru MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Etukuru MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Etukuru MD PC was last updated on October 7, 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.