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PERIASAMY SAMIKKANNU MD
NPI 1790776342
Internal Medicine in Webster, NY

Active since November 02, 2005PECOS Enrolled
45 WEBSTER COMMONS BLVD, STE 200, WEBSTER, NY 14580(585) 872-0650(585) 872-2474 Get Directions Write a Review

NPPES record last updated: June 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Periasamy Samikkannu Md NPPES

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

PERIASAMY SAMIKKANNU MD (NPI 1790776342) is an individual internal medicine provider in Webster, New York, licensed in New York (1551301) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790776342
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePERIASAMY SAMIKKANNUCredential: MD
Location Address45 WEBSTER COMMONS BLVD, STE 200Webster, NY 14580-3813
Mailing Address45 Webster Commons Blvd, Ste 200Webster, NY 14580-3813 · (585) 872-0650 · Fax (585) 872-2474
Phone(585) 872-0650
Fax(585) 872-2474
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateJune 30, 2010
✔ NPI 1790776342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 1551301
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.
45 WEBSTER COMMONS BLVD, Webster, NY 14580
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Other Identifiers 2

Medicare UPINB75243
Medicare ID-Type Unspecified16345J

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Periasamy Samikkannu 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14580 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 9

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

SHARADA MENON MD
Pediatrics
45 WEBSTER COMMONS BLVD, STE 200
WEBSTER, NY 14580
Monroe County (585) 872-0650
BARTON KAPLAN MD
Pediatrics
45 WEBSTER COMMONS BLVD, SUITE 200
WEBSTER, NY 14580
Monroe County (585) 872-0650
MS. CATHERINE JEANNE FARRELL LCSW
Social Worker (Clinical)
45 WEBSTER COMMONS BLVD, SUITE 200
WEBSTER, NY 14580
Monroe County (585) 872-2970
NICOLAS A VENCI MD
Family Medicine
45 WEBSTER COMMONS BLVD, SUITE 200
WEBSTER, NY 14580
Monroe County (585) 872-0650
WEBSTER MEDICAL GROUP, PC.
Internal Medicine
45 WEBSTER COMMONS BLVD, SUITE 200
WEBSTER, NY 14580
Monroe County (585) 872-0650
KARTIK PATEL MD
Internal Medicine
45 WEBSTER COMMONS BLVD, STE 200
WEBSTER, NY 14580
Monroe County (585) 872-0650
YURI BUTS
Pharmacist
45 WEBSTER COMMONS BLVD
WEBSTER, NY 14580
Monroe County (585) 872-7575
MRS. NANCY S PHELPS LCSW
Social Worker
45 WEBSTER COMMONS BLVD, SUITE 200
WEBSTER, NY 14580
Monroe County (585) 872-9050

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 Periasamy Samikkannu's NPI number?

The NPI number for Periasamy Samikkannu is 1790776342. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Periasamy Samikkannu located?

Periasamy Samikkannu practices at 45 Webster Commons Blvd Ste 200, Webster, NY 14580. The listed phone number is (585) 872-0650.

What is Periasamy Samikkannu's specialty?

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

Is Periasamy Samikkannu enrolled in Medicare?

Yes. Periasamy Samikkannu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Periasamy Samikkannu was last updated on June 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.