Kranthi Kumar Gouravaram, DO - Medicare Student in an Organized Health Care Education/Training Program in Bronx, NY

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Kranthi Kumar Gouravaram, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Bronx, New York. His current practice location is 4422 3rd Ave, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 960-9000.

Kranthi Kumar Gouravaram is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629538244.

Contact Information

Kranthi Kumar Gouravaram, DO
4422 3rd Ave,
Bronx, NY 10457-2545
(718) 960-9000
Not Available

Map and Direction




Physician's Profile

Full NameKranthi Kumar Gouravaram
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location4422 3rd Ave, Bronx, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629538244
  • Provider Enumeration Date: 03/20/2019
  • Last Update Date: 06/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153789334
  • Enrollment ID: I20230620002959

Medical Identifiers

Medical identifiers for Kranthi Kumar Gouravaram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629538244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine DO3517 (Maine)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

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. Kranthi Kumar Gouravaram allows following entities to bill medicare on his behalf.
Entity NameEmergency Medicine Services Of Maine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578032058
PECOS PAC ID: 1052657616
Enrollment ID: O20190118000889
Entity NameCalais Community Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1922001049
PECOS PAC ID: 0345649158
Enrollment ID: O20210910001201

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. Kranthi Kumar Gouravaram 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 AddressPractice Location Address
Kranthi Kumar Gouravaram, DO
150 4th Ave Apt Ph1,
Brooklyn, NY 11217-4557

Ph: (925) 984-0235		Kranthi Kumar Gouravaram, DO
4422 3rd Ave,
Bronx, NY 10457-2545

Ph: (718) 960-9000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.