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COLUMBUS CIRCLE MEDICAL SERVICES PC
NPI 1952830937
Internal Medicine in Jamaica, NY

Active since June 05, 2017
17121 JAMAICA AVE, JAMAICA, NY 11432(718) 521-4442(718) 305-4568 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2020, Jul 18, 2018, Jun 5, 2017 (3 updates tracked since 2017).

About Columbus Circle Medical Services Pc NPPES

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

COLUMBUS CIRCLE MEDICAL SERVICES PC (NPI 1952830937) is a healthcare organization registered as an internal medicine in Jamaica, New York and active in the NPI registry since June 2017. The organization maintains a secondary practice location in Brooklyn and lists Prabash Koneru, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952830937
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOLUMBUS CIRCLE MEDICAL SERVICES PC
Location Address17121 JAMAICA AVEJamaica, NY 11432-5427
Mailing Address2114 Pacific BlvdAtlantic Beach, NY 11509-1139
Phone(718) 521-4442
Fax(718) 305-4568
Organization SubpartNo
Authorized OfficialPrabash KoneruCeo · (347) 276-8866
Enumeration DateJune 5, 2017
Last NPPES UpdateJanuary 29, 20203 updates tracked since enumeration
✔ NPI 1952830937 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 · 250331
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.
17121 JAMAICA AVE, Jamaica, NY 11432
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Secondary Practice Location 1

Location 1721 Flushing AveBrooklyn, NY 11206 · Phone (347) 671-7575

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Columbus Circle Medical Services 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 Columbus Circle Medical Services PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Prabash Koneru, M.D.
Internal Medicine
NPI 1033306204
721 FLUSHING AVE
Brooklyn, NY 11206
(347) 671-7575
✔ PECOS✔ Accepts Medicare8.2 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 Columbus Circle Medical Services PC's NPI number?

The NPI number for Columbus Circle Medical Services PC is 1952830937. It was assigned to this organization in the NPPES registry on June 5, 2017.

Where is Columbus Circle Medical Services PC located?

Columbus Circle Medical Services PC is located at 17121 Jamaica Ave, Jamaica, NY 11432. The listed phone number is (718) 521-4442.

What is Columbus Circle Medical Services PC's specialty?

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

Is Columbus Circle Medical Services PC enrolled in Medicare?

Yes. Columbus Circle Medical Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Columbus Circle Medical Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Columbus Circle Medical Services 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 Columbus Circle Medical Services PC was last updated on January 29, 2020. 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.