Noah Praveen Kumar Kondamudi, MD in Newark, NJ

Noah Praveen Kumar Kondamudi, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Newark, New Jersey. His current practice location is 30 Bergen St, Admc 12 1205, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 972-0037.

Noah Praveen Kumar Kondamudi is licensed to practice in New Jersey (license number 25MA06802600) 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 1114958451.

Contact Information

	Noah Praveen Kumar Kondamudi, MD
	30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000
	(973) 972-0037
	Not Available

Map and Direction

Physician's Profile

Full Name	Noah Praveen Kumar Kondamudi
Gender	Male
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	30 Bergen St, Newark, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114958451
Provider Enumeration Date: 07/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5597715243
Enrollment ID: I20091005000323

Medical Identifiers

Medical identifiers for Noah Praveen Kumar Kondamudi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114958451	NPI	-	NPPES
8778205	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	25MA06802600 (New Jersey)	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. Noah Praveen Kumar Kondamudi allows following entities to bill medicare on his behalf.

Entity Name	Tbhc Pediatric Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861628091 PECOS PAC ID: 8325184401 Enrollment ID: O20091007000483

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. Noah Praveen Kumar Kondamudi 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
Noah Praveen Kumar Kondamudi, MD 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 Ph: () -	Noah Praveen Kumar Kondamudi, MD 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 Ph: (973) 972-0037

Reviews and Comments

Pediatrics Doctors in Newark, NJ

Dr. Catherine Anne Scarfi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Newark Beth Israel Medical Center- Emergency Medicine, 201 Lyons Ave. Dept. D11 (emergency Medicine), Newark, NJ 07112 Phone: 973-926-6671
Erika Yesenia Pineda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000
Dr. Anitha Irakam, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7203 Fax: 973-926-2332
Dr. Derrick Mcqueen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-3568 Fax: 973-926-6452
Joseph V Schwab, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 90 Bergen St, Suite 4300, Newark, NJ 07103 Phone: 973-972-2100 Fax: 973-972-2102
Mr. Dhanbir S Saluja, MD PA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 230 Jefferson St, Newark, NJ 07105 Phone: 973-589-5940 Fax: 973-465-0706
Dr. Rene B. Esquerre, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 644 Mount Prospect Ave, Newark, NJ 07104 Phone: 973-483-4702 Fax: 973-483-0955

Noah Praveen Kumar Kondamudi, MD - Medicare Pediatrics in Newark, NJ