Dr Kimberly Dawn Ponnuru, MD is a medicare enrolled "Surgery" physician in Merriam, Kansas. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2000 and has 24 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Shawnee Mission Medical Center Inc and her current practice location is
7450 Kessler St, Ste 201, Merriam, Kansas. You can reach out to her office (for appointments etc.) via phone at
(913) 632-9200.
Dr Kimberly Dawn Ponnuru is licensed to practice in Kansas (license number 0429857) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689766230.
Physician's Profile
| Full Name | Dr Kimberly Dawn Ponnuru |
|---|
| Gender | Female |
|---|
| Speciality | General Surgery |
|---|
| Experience | 24 Years |
|---|
| Location | 7450 Kessler St, Merriam, Kansas |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Kimberly Dawn Ponnuru attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2000
NPI Data:
- NPI Number: 1689766230
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 11/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 8426227737
- Enrollment ID: I20110824000947
Medical Identifiers
Medical identifiers for Dr Kimberly Dawn Ponnuru such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689766230 | NPI | - | NPPES |
| 0429857 | Other | KS | KS STATE BOARD OF HEALING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 0429857 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Shawnee Mission Medical Center Inc | 9537119037 | 171 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kimberly Dawn Ponnuru allows following entities to bill medicare on her behalf.
| Entity Name | Shawnee Mission Medical Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1992735690
PECOS PAC ID: 9537119037
Enrollment ID: O20050701000310 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberly Dawn Ponnuru is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kimberly Dawn Ponnuru, MD
7450 Kessler St, Ste 201,
Merriam, KS 66204
Ph: (913) 632-9200 | Dr Kimberly Dawn Ponnuru, MD
7450 Kessler St, Ste 201,
Merriam, KS 66204
Ph: (913) 632-9200 |
Reviews and Comments