Sujithraj Dommaraju, MBBS in Ithaca, NY - Medicare Internal Medicine

Sujithraj Dommaraju, MBBS is a medicare enrolled "Internal Medicine" physician in Ithaca, New York. His current practice location is 905 Hanshaw Rd Ste C, Ithaca, New York. You can reach out to his office (for appointments etc.) via phone at (607) 277-2170.

Sujithraj Dommaraju is licensed to practice in New York (license number 317804) 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 1497310031.

Contact Information

	Sujithraj Dommaraju, MBBS
	905 Hanshaw Rd Ste C, Ithaca, NY 14850-1549
	(607) 277-2170
	Not Available

Map and Direction

Physician's Profile

Full Name	Sujithraj Dommaraju
Gender	Male
Speciality	Internal Medicine
Location	905 Hanshaw Rd Ste C, Ithaca, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497310031
Provider Enumeration Date: 05/09/2019
Last Update Date: 06/16/2023

Medicare PECOS Information:

PECOS PAC ID: 3678800778
Enrollment ID: I20220823000491

Medical Identifiers

Medical identifiers for Sujithraj Dommaraju such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497310031	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MT217289 (Pennsylvania)	Secondary
207R00000X	Internal Medicine	317804 (New York)	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. Sujithraj Dommaraju allows following entities to bill medicare on his behalf.

Entity Name	Cayuga Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679525455 PECOS PAC ID: 6709897960 Enrollment ID: O20060601000199

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. Sujithraj Dommaraju 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
Sujithraj Dommaraju, MBBS 905 Hanshaw Rd Ste C, Ithaca, NY 14850-1549 Ph: (607) 277-2170	Sujithraj Dommaraju, MBBS 905 Hanshaw Rd Ste C, Ithaca, NY 14850-1549 Ph: (607) 277-2170

Reviews and Comments

Internal Medicine Doctors in Ithaca, NY

Jeri Charlotte Albano, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 40 Catherwood Rd, Ithaca, NY 14850 Phone: 607-272-0460
Dr. Adam Law, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 404 N Cayuga St, Ithaca, NY 14850 Phone: 607-277-0969 Fax: 607-277-3242
Dr. Humaira Hassan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr, Ithaca, NY 14850 Phone: 607-277-2170 Fax: 607-277-2329
Qutaybeh S Maghaydah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Taughannock Blvd, 4th Floor, Ithaca, NY 14850 Phone: 607-269-0100 Fax: 607-269-0140
Andrew C Schutrumpf, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 Hanshaw Rd Ste C, Ithaca, NY 14850 Phone: 804-387-2328 Fax: 607-319-0492
Lavanya Kodali, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Dates Dr Ste 101, Ithaca, NY 14850 Phone: 607-882-2277
Timothy M Cardina, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 821 Cliff St, Ithaca, NY 14850 Phone: 607-273-7700 Fax: 607-273-4948

Sujithraj Dommaraju, MBBS - Medicare Internal Medicine in Ithaca, NY