MOHINDER K GURAM MD
NPI 1871546812
Pediatrics in Lake Ronkonkoma, NY

Q: What is Mohinder Guram's NPI number?

The NPI number for Mohinder Guram is 1871546812. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Mohinder Guram's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mohinder Guram was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 19, 2006PECOS Enrolled

640 HAWKINS AVE, LAKE RONKONKOMA, NY 11779(631) 737-0100(631) 417-1117 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2019, Nov 9, 2017, Feb 3, 2017 (3 updates tracked since 2017).

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About Mohinder K Guram Md NPPES

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

MOHINDER K GURAM MD (NPI 1871546812) is an individual pediatrics provider in Lake Ronkonkoma, New York, licensed in New York (161456) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871546812

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMOHINDER K GURAMCredential: MD

Location Address640 HAWKINS AVELake Ronkonkoma, NY 11779-2324

Mailing Address55 Water St, 2nd Floor Cred DeptNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556

Phone(631) 737-0100

Fax(631) 417-1117

Sole ProprietorNo

Enumeration DateMay 19, 2006

Last NPPES UpdateSeptember 12, 20193 updates tracked since enumeration

✔ NPI 1871546812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 161456

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

640 HAWKINS AVE, Lake Ronkonkoma, NY 11779

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Other Identifiers 1

Medicaid01352854NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohinder K Guram 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 11779 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

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.

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.

TARA K SINGH MD

Internal Medicine