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MARY PUDUSSERI MD NPI 1104867597


NPI Information

NPI: 1104867597
Provider Name: MARY PUDUSSERI, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC

PECOS Registration: Yes

Address:
601 ELMWOOD AVE
ROCHESTER, NY
ZIP 14642
Phone: (585) 275-4751
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Mary Pudusseri, MD is a cardiovascular disease internal medicine in Rochester, NY with 46 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Mary Pudusseri, MD NPI is 1104867597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 ELMWOOD AVE
ROCHESTER, NY
ZIP 14642-001
Phone: (585) 275-4751

The NPI 1104867597 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

The enumeration date for this NPI number is 6/9/2006 and was last updated on 8/26/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease157278NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100026569401OTHERNEW YORKUNIVERA
2000913019003OTHERNEW YORKBC/BS OF WESTERN NY
3P010157278OTHERNEW YORKBLUE CHOICE
4MDH648OTHERNEW YORKPREFERRED CARE
501009374MEDICAIDNEW YORK
6E87254MEDICARE UPINNEW YORK
7RA0598MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
85137351OTHERNEW YORKAETNA
9P010157278OTHERNEW YORKBLUE SHIELD
10P00061001OTHERNEW YORKMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.