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PRATHIMA KANUMURI M.D.
NPI 1811188659
Surgery in Niskayuna, NY

Active since August 07, 2007PECOS Enrolled
2210 TROY SCHENECTADY RD, NISKAYUNA, NY 12309(518) 612-8560(518) 612-8561 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prathima Kanumuri M.d. NPPES

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

PRATHIMA KANUMURI M.D. (NPI 1811188659) is an individual surgery provider in Niskayuna, New York, licensed in New York (256886) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811188659
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NamePRATHIMA KANUMURICredential: M.D.
Location Address2210 TROY SCHENECTADY RDNiskayuna, NY 12309-4725
Mailing Address1201 Nott St, Suite 103Schenectady, NY 12308-2589 · (518) 612-8560 · Fax (518) 612-8561
Phone(518) 612-8560
Fax(518) 612-8561
Sole ProprietorNo
Enumeration DateAugust 7, 2007
Last NPPES UpdateMarch 30, 2018
✔ NPI 1811188659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 256886
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2210 TROY SCHENECTADY RD, Niskayuna, NY 12309
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Other Identifiers 1

Medicaid04227556NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prathima Kanumuri M.d. 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 Prathima Kanumuri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ellis Hospital
2.7 mi
General Acute Care Hospital
1101 NOTT ST
Schenectady, NY 12308
  • Reassigned Medicare billing, New York enrollment
  • 462 clinicians in this Medicare group
NPI 1487644993 (518) 243-4000

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 12309 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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 14

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

WOMAN'S HEALTHCARE GROUP
Obstetrics & Gynecology
2210 TROY SCHENECTADY RD
NISKAYUNA, NY 12309
Schenectady County (518) 346-6400
BRADFORD RUTHBERG MD
Radiology (Diagnostic Radiology)
2210 TROY SCHENECTADY RD
SCHENECTADY, NY 12309
Schenectady County (518) 346-9466
ELLIS HOSPITAL
General Acute Care Hospital (Women)
2210 TROY SCHENECTADY RD
NISKAYUNA, NY 12309
Schenectady County (518) 346-9400
CHRISTINA M LARONCA NP
Nurse Practitioner
2210 TROY SCHENECTADY RD
NISKAYUNA, NY 12309
Schenectady County (518) 346-6400
SUSAN C SHARP MD PC
Pathology (Anatomic Pathology & Clinical Pathology)
2210 TROY SCHENECTADY RD
NISKAYUNA, NY 12309
Schenectady County (518) 786-6816
TRISTAR PATHOLOGY LLC
Pathology (Anatomic Pathology & Clinical Pathology)
2210 TROY SCHENECTADY RD
NISKAYUNA, NY 12309
Schenectady County (518) 786-6816
ELLIS HOSPITAL
General Acute Care Hospital (Women)
2210 TROY SCHENECTADY RD
SCHENECTADY, NY 12309
Schenectady County (518) 347-3350
CLARISSA S WESTNEY MD
Obstetrics & Gynecology
2210 TROY SCHENECTADY RD
NISKAYUNA, NY 12309
Schenectady County (518) 346-6400

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 Prathima Kanumuri's NPI number?

The NPI number for Prathima Kanumuri is 1811188659. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Prathima Kanumuri located?

Prathima Kanumuri practices at 2210 Troy Schenectady Rd, Niskayuna, NY 12309. The listed phone number is (518) 612-8560.

What is Prathima Kanumuri's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Prathima Kanumuri enrolled in Medicare?

Yes. Prathima Kanumuri is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prathima Kanumuri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prathima Kanumuri reassigns Medicare benefits to Ellis Hospital (Schenectady, NY). 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 Prathima Kanumuri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Prathima Kanumuri was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.