NAVEENA PATHMAKUMAR M.D
NPI 1861550782
Internal Medicine in Bronx, NY

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
234 E 149TH ST, LINCOLN HOSPITAL SD, BRONX, NY 10451(718) 579-5000(718) 579-4836 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Naveena Pathmakumar M.d NPPES

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

NAVEENA PATHMAKUMAR M.D (NPI 1861550782) is an individual internal medicine provider in Bronx, New York, licensed in New York (203891) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Lincoln Medical & Mental Health Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1861550782
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNAVEENA PATHMAKUMARCredential: M.D
Location Address234 E 149TH ST, LINCOLN HOSPITAL SDBronx, NY 10451-5504
Mailing Address36 Lincoln RdScarsdale, NY 10583-7248 · (914) 713-1077 · Fax (914) 713-4440
Fax(718) 579-4836
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 4, 2006
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
NPI 1861550782 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 · 203891
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.
234 E 149TH ST, Bronx, NY 10451

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Naveena Pathmakumar M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214106343
PECOS Enrollment IDI20110808000137
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
132 services129 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
112 services111 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lincoln Medical & Mental Health Center

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330080
Location234 East 149th StreetBronx, NY 10451 · Bronx County
Emergency services Birthing friendly

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10451 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims26 services$5.32 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$19.38 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier13 claims13 services$6.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Dermatology
234 E 149TH ST
BRONX, NY 10451
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Social Worker (Clinical)
234 E 149TH ST
BRONX, NY 10451
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Physician Assistant
234 E 149TH ST
BRONX, NY 10451
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451

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 Naveena Pathmakumar's NPI number?

The NPI number for Naveena Pathmakumar is 1861550782. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Naveena Pathmakumar located?

Naveena Pathmakumar practices at 234 E 149th St Lincoln Hospital Sd, Bronx, NY 10451. The listed phone number is (718) 579-5000.

What is Naveena Pathmakumar's specialty?

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

Is Naveena Pathmakumar enrolled in Medicare?

Yes. Naveena Pathmakumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Naveena Pathmakumar affiliated with any hospitals?

According to CMS data, Naveena Pathmakumar is affiliated with Lincoln Medical & Mental Health Center and New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Naveena Pathmakumar was last updated on January 29, 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.